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Related Experiment Video

Updated: Jul 9, 2025

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Peripapillary fluid: Obvious and not so obvious!

Supriya Arora¹, Dinah Zur², Claudio Iovino³

¹Bahamas Vision Centre and Princess Margaret Hospital, Nassau NP, Bahamas.

Survey of Ophthalmology

|November 28, 2023

Summary

Peripapillary fluid on optical coherence tomography (OCT) can indicate various eye conditions. This study presents a diagnostic algorithm to differentiate these conditions for accurate diagnosis and management.

Keywords:

Choroidal neovascularization Disc edema Peripapillary fluid Peripapillary pachychoroid syndrome Peripapillary retinoschisis

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Area of Science:

Ophthalmology
Medical Imaging

Background:

Peripapillary fluid, visualized via optical coherence tomography (OCT), is a key indicator in various ocular pathologies.
Conditions include peripapillary choroidal neovascularization, optic disc pit maculopathy, optic nerve head tumors, and granulomas.

Purpose of the Study:

To present a diagnostic algorithm for peripapillary fluid detected on OCT.
To outline the key features and management strategies for conditions associated with peripapillary fluid.

Main Methods:

Review and synthesis of OCT findings in diverse peripapillary fluid conditions.
Development of a systematic diagnostic approach based on OCT imaging characteristics.

Main Results:

Peripapillary fluid is associated with a wide spectrum of chorioretinal and neuro-ophthalmological diseases.
Accurate differentiation is crucial to avoid misdiagnosis and ensure appropriate patient management.

Conclusions:

A structured diagnostic algorithm aids in the accurate identification of the underlying causes of peripapillary fluid.
Effective management relies on precise diagnosis facilitated by OCT imaging and a systematic approach.