Spontaneous resolution of optic pit maculopathy : an OCT report

© The Author(s), 2020..

The separation of the vitreous from the optic nerve head and the macula plays a primary role in the spontaneous resolution of optic disc pit (ODP) maculopathy. Optical coherence tomography (OCT) helps in the non-invasive monitoring of this condition, when treated conservatively. The aim of this report was to describe a pediatric case of spontaneously resolved ODP maculopathy, managed conservatively and monitored by means of spectral domain (SD)-OCT. A 14-year-old girl presented with severe visual loss in the right eye (RE). Fundus examination demonstrated a temporal ODP with altered foveal reflex. The SD-OCT B-scans revealed severe intraretinal schisis-like changes, broad vitreal adhesion in the optic nerve head area, posterior hyaloid thickening, and vitreal entrapment in the premacular space. The patient was managed conservatively. Spontaneous resolution of ODP maculopathy took place over 3 months, with vision improved up to 1.0 (Snellen charts). The macular schisis progressively resolved after posterior vitreous detachment. In conclusion, in our report, a complete restoration of the foveal anatomy was achieved without any surgical intervention. This OCT-based report confirms the role of the vitreomacular abnormalities in the pathogenesis of the disease.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:12

Enthalten in:

Therapeutic advances in ophthalmology - 12(2020) vom: 08. Jan., Seite 2515841420950843

Sprache:

Englisch

Beteiligte Personen:

Lorusso, Massimo [VerfasserIn]
Zito, Roberta [VerfasserIn]
Micelli Ferrari, Luisa [VerfasserIn]
Nikolopoulou, Eleni [VerfasserIn]
Cicinelli, Maria Vittoria [VerfasserIn]
Borrelli, Enrico [VerfasserIn]
Querques, Giuseppe [VerfasserIn]
Micelli Ferrari, Tommaso [VerfasserIn]

Links:

Volltext

Themen:

Case Reports
Optic disc pit maculopathy
Optical coherence tomography
Posterior vitreous detachment

Anmerkungen:

Date Revised 28.09.2020

published: Electronic-eCollection

Citation Status PubMed-not-MEDLINE

doi:

10.1177/2515841420950843

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM314960228