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Laser treatment of macular retinoschisis due to acquired optic nerve pit from glaucoma
- Source :
- BMJ Case Reports. :bcr2015211036
- Publication Year :
- 2015
- Publisher :
- BMJ, 2015.
-
Abstract
- Macular retinoschisis can be caused by acquired optic nerve pit from glaucoma. This study evaluated the efficacy of laser treatment for this disorder. We report on five eyes from three patients with macular retinoschisis and a history of glaucoma. Spectral domain optical coherence tomography was used for diagnosis and follow-up. Treatment was performed with barrier laser on the temporal margin of the optic nerve. Following treatment, patients' average vision improved by 1 line on the Snellen chart at average follow-up of 12.3 months. All five eyes showed significant improvement in macular retinoschisis. The tracts connecting the optic pit to the retinoschisis completely closed in three eyes and nearly closed in two eyes. These cases demonstrate that laser photocoagulation is an effective treatment of macular retinoschisis from acquired optic nerve pit. It can serve as first-line treatment before more invasive options such as vitrectomy are considered.
- Subjects :
- Male
medicine.medical_specialty
Visual acuity
genetic structures
Retinoschisis
medicine.medical_treatment
Visual Acuity
Glaucoma
Vitrectomy
Article
Macular Degeneration
Ophthalmology
Optic Nerve Diseases
Optic pit
medicine
Humans
Aged
Aged, 80 and over
Laser Coagulation
business.industry
Optic Nerve
General Medicine
Macular degeneration
medicine.disease
eye diseases
Treatment Outcome
Optic nerve
Female
sense organs
medicine.symptom
business
Laser coagulation
Tomography, Optical Coherence
Subjects
Details
- ISSN :
- 1757790X
- Database :
- OpenAIRE
- Journal :
- BMJ Case Reports
- Accession number :
- edsair.doi.dedup.....a24c6cb9b723ab0259e979a6a06d11eb