A Preliminary Diagnosis Need to be Considered as a Differential Diagnosis of Submacular Fluid: Non-arteritic Ischemic Optic Neuropathy-Case Report

Özet

Here we present the two cases of non-arteritic ischemic optik neuropathy that demonstrated subretinal fl uid on optical coherence tomography. First case was diagnosed as central serous chorioretinopathy in the outer center and treated with oral acetazolamide during 1 week; because of less fl uid, she was followed with topical nepafanac in our clinic. As another case had symptoms during three days and signifi cant subretinal fl uid, he was treated with oral steroid therapy. Following the week, both of them had visual improvement and subretinal fl uid resolution. Their fl uorescein angiogram did not show accumulation of dye in the macular region, indicating the fl uid did not arise from the retinal vessels or directly from the choroid; early dye leakage and late staining of the optic disc were present. According to age, ischemic optic neuropathy is a differential diagnosis of maculer edema and can affect the therapy options.