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Related Experiment Videos

Peripapillary disciform lesions in the elderly

G J Davis1, H C Wong

  • 1Department of Ophthalmology, Flinders Medical Centre, Bedford Park, South Australia.

Australian and New Zealand Journal of Ophthalmology
|May 1, 1994
PubMed
Summary
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Peripapillary disciform lesions (PPDL) in elderly patients were managed with either ablative laser treatment or observation. Laser treatment showed varied visual acuity outcomes, while observation maintained vision in most cases.

Area of Science:

  • Ophthalmology
  • Retinal Diseases

Background:

  • Peripapillary disciform lesions (PPDL) are a subtype of age-related macular degeneration.
  • Management strategies for PPDL vary, impacting visual outcomes.

Purpose of the Study:

  • To present a consecutive case series of peripapillary disciform lesions (PPDL).
  • To evaluate the outcomes of different management protocols for PPDL in elderly patients.

Main Methods:

  • Retrospective review of seven elderly patients with PPDL over 4.5 years.
  • Management included ablative laser treatment for progressive, sight-threatening lesions and observation for non-progressive lesions.

Main Results:

  • Four patients received laser treatment; final visual acuity improved by one line in one, decreased by one line in two, and remained unchanged in one.

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  • No recurrence was observed beyond three months post-treatment in the laser group.
  • Three patients were managed conservatively; final visual acuity remained unchanged in two and decreased by one line in one.

    • Conclusions:

    • Ablative laser treatment for progressive PPDL yields mixed visual acuity results.
    • Conservative management is effective for non-progressive PPDL, preserving visual acuity in most cases.