J Korean Ophthalmol Soc.  2010 Jan;51(1):155-158.

A Case of Surgically Treated Serous Macular Detachment Associated With Optic Disc Pit

• Ryu JW
• Ra H
• Lee WK

Abstract

PURPOSE
To report the clinical results of a planned vitrectomy, laser photocoagulation and gas tamponade for the treatment of serous macular detachment associated with optic disc pit. However, laser photocoagulation was performed on a postoperative outpatient basis for subretinal fluid.
CASE SUMMARY
A 13-year-old women presented with central visual disturbance in the left eye. Her best-corrected visual acuity (BCVA) was 0.16. On ophthalmic examination, the patient was diagnosed with optic disc pit combined with serous macular detachment. After 3 months, the serous macular detachment increased and visual acuity decreased to 0.1. Pars plana vitrectomy combined with complete posterior vitreous detachment was performed. After intravitreal injection of perfluorodecalin, internal drainage of the subretinal fluid using the back flush needle around the optic disc pit was performed, but the fluid was not drained. The planned intraoperative photocoagulation was not performed due to a large serous macular detachment. Gas tamponade was performed and a facedown position was maintained for 1 week followed by laser photocoagulation. The subretinal fluid was completely absorbed and visual acuity was improved. In addition, recurrence was not observed throughout the follow-up period.

Keyword

Optic disc pit; Serous macular detachment

MeSH Terms

Adolescent
Drainage
Eye
Female
Fluorocarbons
Follow-Up Studies
Humans
Intravitreal Injections
Light Coagulation
Needles
Outpatients
Recurrence
Subretinal Fluid
Visual Acuity
Vitrectomy
Vitreous Detachment
Fluorocarbons

Figure

• 

  Figure 1. A: Preoperative fundus photograph shows an inferotemporal gray optic disc pit and about 3.5 disc diameter-sized serous macular detachment (arrowheads). The arrow points to the direction of optical coherence tomography (OCT) scan. B, C: Preoperative OCT images shows the subretinal fluid in macular detachment (B) and intraretinal schisis connected with optic disc pit (arrow, C). D: At three-month follow-up visit, serous macular detachment increased to about 5 disc diameter. So we planned surgical treatment. E: Two years after vitrectomy, fundus photograph shows no recurrence of serous macular detachment. F, G: Two years after vitrectomy, horizontal and vertical OCT images show no residual subretinal fluid and closed intraretinal schisis connected with optic disc pit.

Reference

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