Optic disc pit with serous macular detachment in a child

Year 2013, Volume: 40 Issue: 4, 678 - 680, 01.12.2013

Refik Oltulu İsmail Erşan Günhal Şatırtav Mehmet Okka

https://doi.org/10.5798/diclemedj.0921.2013.04.0358

Abstract

Optic disc pits occur in less than 1 in 10.000. Approximately 50% of cases of congenital optic disc pits are associated with serous macular detachment. Long-standing serous detachments are usually associated with cystic degeneration of the macula and loss of pigment from the underlying retinal pigment epithelium. Hence, most eyes with serous macular detachment associated with an optic disc pit have a relatively poor visual prognosis. We represent a 9-year-old girl with a right optic disc pit associated with serous retinal detachment of the macula. Our experience underline that clinicians must be vigilant about the assessment of optic disc pit and furthermore in the diagnosis of optic disc pit, careful and close ophthalmologic examination for macular detachment is recommended for early diagnosis.

Keywords

Coloboma, macular degeneration, optic nerve, retinal detachment

Seröz maküler dekolmanlı optik disk çukurluğu bulunan bir çocuk

Abstract

Bu yazıda nadir görülen, seröz maküler dekolmanlı optik disk çukurluğu bulunan çocuk olguyu sunuyoruz. Optik disk çukurları 10000’de 1’den daha az görülür ve olguların %10-15’inde iki taraflıdır. Doğumsal optik disk çukuru olgularının yaklaşık %50’si seröz makula dekolmanı ile ilişkilidir. Uzun süre devam eden seröz dekolmanlar genellikle makülanın kistik dejenerasyonu ve alttaki retinal pigment epitelinden pigment kaybı ile ilişkilidir. Bundan dolayı, seröz maküla dekolmanı olan gözlerin çoğunda optik disk çukuru oluşumu ile birlikte göreceli olarak kötü görsel prognoz vardır. Burada seröz dekolmanlı optik disk çukuru olan çocuk olgunun değerlendirilmesinin klinik önemini vurguladık

Keywords

Kolobom, maküla dejenerasyonu, optik sinir, retina dekolmanı

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