Mehmet Demir_SCIENTIFIC POSTER 2015_2

Aim:

To report spontaneous regression of optic disc pit related maculopathy associated with low vision and retinal tissue defect in a middle age woman.

Methods:

A 38-year-old female was admitted with low vision in the left eye. She had no significant refractive error in both eyes. Best corrected visual acuity (BCVA), intraocular pressure (IOP), anterior and posterior segments were evaluated. Optical coherence tomography (OCT) and retinal nerve fiber layer (RNFL) scans were obtained from macula and optic disc, respectively. Fluorescein angiography (FA) was performed in both eyes. Posterior segment was normal in the right eye. Optic disc pit was located in the temporal region of the optic nevre head in the lefte eye. In the optical coherence tomography scans, central macular thickness (CMT) was 230 µm with normal foveal contour was normal in the right eye, however CMT was 269 µm associated with intraretinal tissue defect and decreased foveal contour in the left eye. No observed communication between optic disc pit and sub-retinal layers in OCT and FA. FA was similar in both eyes, there was no leakage. RNFL scans were normal. She had no history of systemic, ophthalmologic, retinal or ophthalmologic diseases or surgery. Also there was no history of trauma.

Results:

Visual acuity was 1.0 in the right and 0.6 (Snellen) in the left eye. IOP was normal in both eyes. CMT was 230 µm with normal foveal contour was normal in the right eye, however CMT was 269 µm associated intraretinal tissue defect and decreased foveal contour in the left eye. No observed communication between optic disc pit and sub-retinal layers in OCT and FA. Discussion: Serous macular detachment is a complication secondary to optic disc pit. Optic disc pit related maculopathy occurs most frequently in young people. Pars plana vitrectomy with or without gas tamponade is a treatment option for optic disc pit related maculopathy. A study reported that untreated patients with serous maculopathy secondary to optic disc pit underwent loss of visual acuity in long term period. Additionaly retinal tears and detachment, cataract formation, proliferative vitreoretinopathy, refractive changes are some complications of pars plana vitrectomy. Intravitreal gas tamponade and laser photocoagulation is a another option for optic disc related maculopathy but they need repeated treatment and include some complications such as retinal tears, detachment, endopthalmitis and damage of lens. Spontaneous regression of optic disc related maculopathy was reported in the literature. It may be beter to follow a time than just invasive treatment for patients with optic disc related maculopathy.

Conclusions:

Spontaneous improvement of optic disc pit related maculopathy is possible. Treatment options evaluated with this possiblity.

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