AI Summary & Key Takeaways
AI InsightNo change in intraocular pressure was observed during follow up.Conclusion: Perfluoropropane injection and laser photocoagulation with topical medication were effective and safe for serous maculopathy associated with optic disc pit.
📌 3 Key Takeaways
Abstract
Treatment of serous maculopathy associated with optic disc pit without vitrectomy: a case presentationObjective: To report an serous maculopathy associated with optic disc pit which was treated with gas injection and laser photocoagulation.Case: A 21-year-old female was admitted with blurred vision in the left eye. Optic disc pit was detected in the left eye. Best corrected visual acuity (BCVA) was 20/400 (Snellen), central macular thickness (CMT) was 768 µm and intraocular pressure was 15 mmHg in the left eye. Right eye was normal. After corneal paracentesis, 0.3 ml perfluoropropane (C3F8) gas was injected into vitreous cavity and the patient was advised to assume facedown position for 3 days. Laser photocoagulation was performed on the temporal side of the optic disc. Topical brinzolamide 1 % and topical ketorolac tromethamine were used 2x1/day for 3 months after gas injection. At 36th month BCVA was 20/40, CMT reduced. No change in intraocular pressure was observed during follow up.Conclusion: Perfluoropropane injection and laser photocoagulation with topical medication were effective and safe for serous maculopathy associated with optic disc pit.
Özet
Amaç: Optik disk pitine bağlı gelişen seröz makülopati olgusunun lazer fotokoagülasyon ve gaz enjeksiyonu ile tedavisini sunmak.Olgu: Yirmi bir yaşında bayan hasta sol gözde bulanık görme şikayeti ile başvurdu. Yapılan muayenede sol gözde optik diskte pit, düzeltilmiş en iyi görme keskinliği 20/400 (Snellen), merkezi maküla kalınlığı (MMK) 768 µm ve göz içi basıncı 15 mm Hg olduğu görüldü. Optik koherens tomografide seröz makülopati izlendi. Sağ göz normal idi. Sol göze parasentezi takiben 0.3 ml perfloropropan (C3F8) gazı vitreus boşluğuna verildi. Üç gün süresince, günde 5 saat yüz üstü pozisyon verildi. Optik disk temporaline lazer fotokoagülasyon yapıldı. Gaz enjeksiyonundan sonra topikal brinzolamide %1 ve topical ketorolak tromethamine 2x1/gün üç ay boyunca kullanıldı. Otuzaltı aylık takip sonunda düzeltilmiş görmesi 20/40 seviyesine çıktı ve MMK düzeldi. Göz içi basıncında değişim olmadı.Sonuç: Optik disk pitine bağlı seröz makülopati tedavisinde perfloropropan gaz enjeksiyonu ve lazer fotokoagülasyonuna ilave topikal medikasyon etkili ve güvenli bulundu.