Niall Patton1, Sher A Aslam, G W Aylward. 1. Department of Vitreoretinal Surgery, Moorfields Eye Hospital, 162 City Road, London, EC1V 2PD, UK.
Abstract
BACKGROUND: Approximately 50% of cases of congenital optic disc pits are associated with serous macular detachment. Long-standing serous detachments (over 1 year) with poor initial presenting acuity are usually associated with cystic degeneration of the macula and loss of pigment from the underlying retinal pigment epithelium, with resultant poor visual outcome. METHODS: A 43-year-old male presented with an optic disc pit and associated serous elevation of the macular region with cystic changes at the fovea. RESULTS: Over the following 2 years, the patient was aware of an improvement in vision, and acuity improved from 1/60 to 6/18 with resolution of subretinal fluid, as evidenced on optical coherence tomography. CONCLUSIONS: We report an unusual case of an optic disc pit associated with a long-standing serous macular detachment that resolved gradually over a 2.5-year period and, despite very poor presenting visual acuity, demonstrated eventual visual recovery.
BACKGROUND: Approximately 50% of cases of congenital optic disc pits are associated with serous macular detachment. Long-standing serous detachments (over 1 year) with poor initial presenting acuity are usually associated with cystic degeneration of the macula and loss of pigment from the underlying retinal pigment epithelium, with resultant poor visual outcome. METHODS: A 43-year-old male presented with an optic disc pit and associated serous elevation of the macular region with cystic changes at the fovea. RESULTS: Over the following 2 years, the patient was aware of an improvement in vision, and acuity improved from 1/60 to 6/18 with resolution of subretinal fluid, as evidenced on optical coherence tomography. CONCLUSIONS: We report an unusual case of an optic disc pit associated with a long-standing serous macular detachment that resolved gradually over a 2.5-year period and, despite very poor presenting visual acuity, demonstrated eventual visual recovery.
Authors: Panagiotis G Theodossiadis; Vlassis G Grigoropoulos; John Emfietzoglou; George P Theodossiadis Journal: Graefes Arch Clin Exp Ophthalmol Date: 2007-02-07 Impact factor: 3.117
Authors: Efstratios A Parikakis; Irini P Chatziralli; Vasileios G Peponis; Dimitrios Karagiannis; Aimilianos Stratos; Vasileia A Tsiotra; Panagiotis G Mitropoulos Journal: Case Rep Ophthalmol Date: 2014-03-27