Spontaneous resolution of serous maculopathy associated with optic disc pit in a child: A case report

Yuen, Conrad H.W.; Kaye, Stephen B.

doi:10.1067/mpa.2002.127921

Cited by 49 publications

(60 citation statements)

References 8 publications

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“…9 In our case, we did not observe a macular hole, vitreous traction or cystic lesions which are indicators of a poor visual prognosis, therefore no surgical intervention was done in our case. …”

Section: Discussionmentioning

confidence: 84%

Optic Disc Pit with An Atypical Presentation

Arora¹

2018

DJO

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Section: Discussionmentioning

confidence: 84%

Optic Disc Pit with An Atypical Presentation

Arora¹

2018

DJO

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“…Macular lesions, such as macular serous detachment, cystic degeneration and degenerative pigment changes, are now known as common complications of an optic disc pit, which lead to poor visual acuity [6]. In addition, hyperopic refraction induced by an elevated macula could potentially cause additional amblyopia in children.…”

Section: Discussionmentioning

confidence: 99%

“…Although some detachments resolve spontaneously, others persist for years [5]. Macular involvement in children with an optic disc pit has been reported only in a few cases [6][7][8].…”

Section: Introductionmentioning

confidence: 96%

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Function and morphology in macular retinoschisis associated with optic disc pit in a child before and after its spontaneous resolution

2012

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Optic disc pit (ODP) is a rare congenital defect within the optic nerve head. Macula elevation associated with ODP develops in 75-93% of the adult patients. Macular involvement in children with optic disc pit is rare, and only a few cases have been published to date. In the present case, we have observed morphology and function of the central retina in a child with ODP-associated macular detachment and following its spontaneous resolution. An 8-year-old white boy diagnosed with a macular detachment in an eye with an ODP. Optical coherent tomography (OCT) and multifocal electroretinography (mfERG), as well as visual acuity and visual field, were performed in the follow-up of the unilateral schisis-like retinal detachment. A large retinoschisis associated with ODP in a child showed a tendency to spontaneously resolve at 3 months, which was confirmed on OCT. At this time, an mfERG revealed markedly reduced responses. Despite morphologic reattachment at follow-up and improvement in visual acuity, increased mfERG responses were still not the same as in the fellow healthy eye. In contrast to the OCT which is very helpful to assess the extent of the neurosensory detachment, the mfERG offers an additional tool for follow-up of retinal function in this disorder. The good visual outcome in our patient shows that in the presence of residual retinal function on mfERG and in the absence of further lesions on OCT, follow-up is a valid option in children with an ODP-associated macular detachment.

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“…When it occurs, VA is usually reduced to 0.54 logMAR units (20/70 Snellen acuity) or worse [3]. Although spontaneous resolution has been reported [7], the majority of cases have a poor prognosis, with a final VA of 20/200 or worse [8]. …”

Section: Introductionmentioning

confidence: 99%

Efficacy of Internal Limiting Membrane Flap Techniques with Vitrectomy for Macular Detachment Associated with an Optic Disc Pit

et al. 2019

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Purpose: To compare the anatomical and functional outcome of adjuvant pars plana vitrectomy (PPV) procedures using the techniques of translocation of an internal limiting membrane (ILM) flap and transplantation of an inverted ILM flap for the treatment of chronic and/or refractory optic disc pit (ODP) maculopathy. Methods: In this prospective interventional case series study, 9 patients (9 eyes) with chronic and/or refractory ODP maculopathy underwent PPV with either translocation of an ILM flap or transplantation of an inverted ILM flap as adjuvant techniques along with gas tamponade. The anatomical success, rates of macular reattachment, and visual improvement were assessed. Results: The mean preoperative central retinal thickness (CRT) was 723.4 µm (range: 366–1,151). The mean postoperative CRT was 398.1 ± 212.2 µm (range: 210–758). An increased preoperative CRT was associated with a lower chance of postoperative reattachment of the macula (p = 0.047). The overall reattachment rate at the end of the follow-up period was 56% (n = 5). The mean preoperative visual acuity (logMAR unit [Snellen acuity]) was 0.48 (20/60) (range: 1.30 [20/400] to 0.10 [20/25]). The mean change in best corrected visual acuity (BCVA) was 0.48 ± 0.233 logMAR units (approx. 3 lines of visual improvement). Conclusions: ILM flap techniques are logical and straightforward approaches as adjuvants to PPV treatment of ODP maculopathy. They could be viable adjuvant treatments for improvement in BCVA and CRT in patients with ODP maculopathy.

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Spontaneous resolution of serous maculopathy associated with optic disc pit in a child: A case report

Cited by 49 publications

References 8 publications

Optic Disc Pit with An Atypical Presentation

Optic Disc Pit with An Atypical Presentation

Function and morphology in macular retinoschisis associated with optic disc pit in a child before and after its spontaneous resolution

Efficacy of Internal Limiting Membrane Flap Techniques with Vitrectomy for Macular Detachment Associated with an Optic Disc Pit

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