Micropulse laser for persistent optic disc pit maculopathy. A case report

Autor: Carlos Andrés Valdés-Lara, Nicolás Crim, Gerardo García-Aguirre, Ismael Ávila Lule, Virgilio Morales-Cantón
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: American Journal of Ophthalmology Case Reports, Vol 10, Iss , Pp 282-284 (2018)
Druh dokumentu: article
ISSN: 2451-9936
DOI: 10.1016/j.ajoc.2018.04.002
Popis: Purpose: Optic disc pits (ODP) are rare and congenital anomalies of the optic disc, sometimes remaining asymptomatic. However, serous macular detachment or optic disc maculopathy is the most common complication, causing significant visual deterioration, without a current consensus about treatment. We describe a case of ODP maculopathy that was treated successfully with micropulse laser. Observations: A patient with ODP maculopathy remained with macular serous detachment after nine months of follow up after pars plana vitrectomy. Subthreshold micropulse laser was used to treat macular serous detachment, achieving a significant improvement in central macular thickness after one session. Conclusions and importance: Subthreshold micropulse laser is designed to stimulate the retinal pigment epithelium without damage to the photoreceptors, resulting in absorption of subretinal and intraretinal fluid. Macular serous detachment in patients with ODP requires a prompt diagnosis and treatment to avoid damage to photoreceptors. Subthreshold micropulse laser is a potential treatment for eyes with ODP and macular serous detachment complication. Keywords: Optic disc pit maculopathy, Subthreshold micropulse laser
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