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Optic nerve pit maculopathy worsened during pregnancy: a case report
Laura A Torrado-Cobian1, George D Fivgas2
1Department of Ophthalmology, Retina Division, Louisiana State University (LSU) School of Medicine, 533 Bolivar Street, Room 451B, New Orleans, LA, 70112, USA.
BMC Ophthalmology
|January 8, 2021
Summary
Pregnancy can worsen Optic Disc Pit (ODP) maculopathy, a rare condition affecting vision. Surgical intervention led to a positive visual outcome in this case, highlighting a potential management strategy.
Area of Science:
- Ophthalmology
- Retinal Diseases
- Congenital Anomalies
Background:
- Optic Disc Pit (ODP) maculopathy is a rare condition, and its association with pregnancy is not well-documented.
- This case report focuses on the exacerbation of ODP maculopathy during pregnancy.
Observation:
- A 30-year-old pregnant female presented with unilateral blurry vision and subretinal fluid on ophthalmic examination and Spectral Domain Optical Coherence Tomography (SD-OCT).
- Initial laser photocoagulation was unsuccessful, necessitating pars plana vitrectomy, internal limiting membrane peel, and gas tamponade.
- A subsequent full-thickness macular hole developed, requiring repeat surgery.
Findings:
- The patient experienced worsening ODP maculopathy during pregnancy.
- Surgical management, including pars plana vitrectomy and subsequent repair of a macular hole, resulted in near-complete edema resorption and macular hole closure.
- A good visual outcome was achieved nine months after the second surgery.
Implications:
- This case suggests pregnancy may be a trigger for Optic Disc Pit maculopathy.
- Surgical intervention can be effective in managing pregnancy-related ODP maculopathy, leading to favorable visual recovery.
- Further research is warranted to explore the relationship between pregnancy and ODP maculopathy and its management.
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