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Pseudo-duplication of the optic disc with maculo-schisis in a 9-year-old patient
PURPOSE: To report a unique case of pseudo-duplication of the optic disc with maculo-schisis. OBSERVATIONS: A 9-year-old girl presented with decreased vision in the left eye. Her measured visual acuity was 20/50. Dilated fundus examination revealed an optic disc-like lesion with a large crater-like...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5857482/ https://www.ncbi.nlm.nih.gov/pubmed/29560478 http://dx.doi.org/10.1016/j.ajoc.2018.03.008 |
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author | Dar, Nimrod Rubowitz, Alexander |
author_facet | Dar, Nimrod Rubowitz, Alexander |
author_sort | Dar, Nimrod |
collection | PubMed |
description | PURPOSE: To report a unique case of pseudo-duplication of the optic disc with maculo-schisis. OBSERVATIONS: A 9-year-old girl presented with decreased vision in the left eye. Her measured visual acuity was 20/50. Dilated fundus examination revealed an optic disc-like lesion with a large crater-like depression, pale color and aberrant retinal vasculature arising from its lower region. Optical coherence tomography (OCT) demonstrated maculo-schisis emerging from the optic disc complex and involving the foveal region. Further pathological findings of cellophane maculopathy with retinal striae was observed at the papillo-macular bundle. On MRI scan there were neither signs of doubling of the optic nerve nor any other optic nerve malformations. The patient underwent 25 Gauge Pars Plana vitrectomy (PPV) with posterior hyaloid peel, ILM peel and gas tamponade with SF6. Eight month post-operatively, a significant reduction in intra-retinal fluids and an improvement in the maculo-schisis magnitude were seen. CONCLUSIONS AND IMPORTANCE: To the best of our knowledge, this is the first reported case of a pseudo-duplication of the optic disc with maculo-schisis treated with PPV. |
format | Online Article Text |
id | pubmed-5857482 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-58574822018-03-20 Pseudo-duplication of the optic disc with maculo-schisis in a 9-year-old patient Dar, Nimrod Rubowitz, Alexander Am J Ophthalmol Case Rep Case report PURPOSE: To report a unique case of pseudo-duplication of the optic disc with maculo-schisis. OBSERVATIONS: A 9-year-old girl presented with decreased vision in the left eye. Her measured visual acuity was 20/50. Dilated fundus examination revealed an optic disc-like lesion with a large crater-like depression, pale color and aberrant retinal vasculature arising from its lower region. Optical coherence tomography (OCT) demonstrated maculo-schisis emerging from the optic disc complex and involving the foveal region. Further pathological findings of cellophane maculopathy with retinal striae was observed at the papillo-macular bundle. On MRI scan there were neither signs of doubling of the optic nerve nor any other optic nerve malformations. The patient underwent 25 Gauge Pars Plana vitrectomy (PPV) with posterior hyaloid peel, ILM peel and gas tamponade with SF6. Eight month post-operatively, a significant reduction in intra-retinal fluids and an improvement in the maculo-schisis magnitude were seen. CONCLUSIONS AND IMPORTANCE: To the best of our knowledge, this is the first reported case of a pseudo-duplication of the optic disc with maculo-schisis treated with PPV. Elsevier 2018-03-07 /pmc/articles/PMC5857482/ /pubmed/29560478 http://dx.doi.org/10.1016/j.ajoc.2018.03.008 Text en © 2018 The Authors. Published by Elsevier Inc. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case report Dar, Nimrod Rubowitz, Alexander Pseudo-duplication of the optic disc with maculo-schisis in a 9-year-old patient |
title | Pseudo-duplication of the optic disc with maculo-schisis in a 9-year-old patient |
title_full | Pseudo-duplication of the optic disc with maculo-schisis in a 9-year-old patient |
title_fullStr | Pseudo-duplication of the optic disc with maculo-schisis in a 9-year-old patient |
title_full_unstemmed | Pseudo-duplication of the optic disc with maculo-schisis in a 9-year-old patient |
title_short | Pseudo-duplication of the optic disc with maculo-schisis in a 9-year-old patient |
title_sort | pseudo-duplication of the optic disc with maculo-schisis in a 9-year-old patient |
topic | Case report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5857482/ https://www.ncbi.nlm.nih.gov/pubmed/29560478 http://dx.doi.org/10.1016/j.ajoc.2018.03.008 |
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