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Micropulse laser for persistent optic disc pit maculopathy. A case report
Carlos Andrés Valdés-Lara1, Nicolás Crim1, Gerardo García-Aguirre1,2
1Retina Department, Asociacion para Evitar la Ceguera en México "Hospital Dr. Luis Sanchez Bulnes", IAP, Mexico City, 04030, Mexico.
Subthreshold micropulse laser successfully treated optic disc pit maculopathy with serous macular detachment. This innovative approach offers a promising solution for vision-threatening complications of optic disc pits.
Area of Science:
- Ophthalmology
- Retinal Diseases
Background:
- Optic disc pits (ODP) are rare congenital optic nerve anomalies.
- Macular serous detachment is a common complication of ODP, leading to significant vision loss.
- Current treatment consensus for ODP maculopathy is lacking.
Observation:
- A case of ODP maculopathy with persistent macular serous detachment after vitrectomy was reported.
- Subthreshold micropulse laser treatment was applied to the macular serous detachment.
- Significant improvement in central macular thickness was observed after a single laser session.
Findings:
- Subthreshold micropulse laser stimulates the retinal pigment epithelium, promoting fluid absorption.
- The laser treatment effectively reduced subretinal and intraretinal fluid in ODP maculopathy.
- A single session of micropulse laser led to notable anatomical improvement.
Implications:
- Prompt diagnosis and treatment of ODP maculopathy are crucial to prevent photoreceptor damage.
- Subthreshold micropulse laser presents a viable and effective treatment option for ODP-associated macular complications.
- This approach may help preserve or improve vision in patients with optic disc pit maculopathy.
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