Premium
Significant visual improvement after spontaneous resolution of longstanding macular detachment due to optic disc pit
Author(s) -
PARIKAKIS E,
CHATZIRALLI I,
STRATOS E,
PEPONIS V,
KARAGIANNIS D,
TSIOTRA V,
MITROPOULOS P
Publication year - 2014
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.2014.f101.x
Subject(s) - visual acuity , optical coherence tomography , medicine , ophthalmology , vitrectomy , optic disc , retinal detachment , serous fluid , macular hole , optometry , retinal
Purpose To report a case of spontaneous resolution of a longstanding serous macular detachment associated with an optic disc pit, leading to significant visual improvement. Methods A 63‐year‐old female presented with blurred vision and micropsia in her left eye since six months. Her best‐corrected visual acuity was 6/24 in the left eye and fundoscopy revealed serous macular detachment associated with optic disc pit, confirmed by optical coherence tomography. Results The patient was offered the treatment alternative of vitrectomy, but she preferred to be reviewed conservatively. Three years after initial presentation, neither macular detachment nor subretinal fluid was evident in optical coherence tomography, while inner segment/outer segment (IS/OS) junction line was intact. Her visual acuity was improved from 6/24 to 6/12 in her left eye, remaining stable at the 6‐month follow‐up after resolution. Conclusion This is a case of spontaneous resolution of longstanding optic disc pit associated macular detachment with significant visual improvement, postulating that the integrity of IS/OS junction line may be a prognostic factor for final visual acuity and suggesting optical coherence tomography as an indicator of visual prognosis and probable necessity of surgical management.