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

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. W...

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Detalles Bibliográficos
Autores principales: Valdés-Lara, Carlos Andrés, Crim, Nicolás, García-Aguirre, Gerardo, Lule, Ismael Ávila, Morales-Cantón, Virgilio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5956721/
https://www.ncbi.nlm.nih.gov/pubmed/29780953
http://dx.doi.org/10.1016/j.ajoc.2018.04.002
Descripción
Sumario: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.