Combined treatment for optic disc pit maculopathy secondary to glaucoma.

Authors :: Torres Ledesma B
Bueno García P
Torres Pereda JP
Source :: Archivos de la Sociedad Espanola de Oftalmologia [Arch Soc Esp Oftalmol (Engl Ed)] 2021 Dec; Vol. 96 (12), pp. 668-672. Date of Electronic Publication: 2021 Oct 23.
Publication Year :: 2021
Abstract: Case Report: A 58-year-old man was referred to the retina specialist for evaluation of decreased vision in the left eye (LE). At the first visit, visual acuity was 0.9 in right eye (RE) and hands movement in LE, and the intraocular pressure (IOP) was 34 mmHg and 42 mmHg in right and left eye, respectively. Dilated funduscopic examination revealed papillary pallor, increased cup-to-disc ratio of the optic nerve in both eyes, and retinal posterior pole oedema in the LE. Optical coherence tomography (OCT) and fluorescein angiography assessment confirmed the diagnosis of a macular serous retinal detachment (RD) caused by an optic disc pit secondary to glaucoma. Combined surgical treatment with ExPress drainage device implantation, pars plana vitrectomy (PPV), and juxtapapillar laser endophotocoagulation was performed. The IOP returned to normal, as well as complete anatomical resolution of macular RD.<br /> (Copyright © 2020 Sociedad Española de Oftalmología. Published by Elsevier España, S.L.U. All rights reserved.)