First Author: C.Pinto SPAIN
Co Author(s): P. Ruiz L. Cordovés P. Rocha J.A. Abreu 0 0 0 0 0 0 0 0 0
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We report a case of a 30-year-old man with the diagnosis of a temporal optic disc pit in his right eye associated to macular detachment, surgically treated by 23G pars plana vitrectomy, ILM peeling and gas tamponade, with satisfactory results in the early postoperative period.
Ophthalmology Department. University Hospital of the Canary Islands. Tenerife, Spain.
Clinical case: 30 year-old man dispatched to our hospital because of 3-month-blurred-vision complain in his right eye (RE) No concomitant problems neither previous ophthalmological history were reported. The best corrected visual acuity was 0.8 in the RE and 1.0 in the left eye (LE). The slit-lamp examination was normal, and the intraocular pressure was 13 mmHg in both eyes. At the fundoscopic exam, we discovered a temporal optic disc pit associated with a serous detachment and pigmentary changes in macular region of the RE; whereas LE fundus was not affected. Macular OCT of the RE showed the serous macular detachment 400µm central thickness and chronic changes in the detached photoreceptor layer.
Surgical treatment was decided, performing 23G pars plana vitrectomy, ILM peeling because of firmly adherent vitreous strands to the foveal area and gas tamponade with 22% SF6, under retrobulbar anesthesia. No laser photocoagulation was performed.
Several treatment strategies have been suggested in the optic disc pit maculopathy approach. In this case, the surgery was selected, with a satisfactory early postoperative follow-up. 23G vitrectomy with ILM peeling and gas tamponade, seems to be an appropriate innitial therapeutic option in this condition.