Surgical approach and optic coherence tomographic evaluation of optic disc anomaly in association with serous macular detachment

Abstract

Serous macular detachment (SMD) may accompany optic disc pit (ODP) and cause visual loss if untreated. We want to present different therapeutic approaches and interesting optical coherence tomography (OCT) findings in three consecutive cases. In this case series, two patients with SMD and one patient with partial macular detachment and inferior retinal detachment accompanying ODP were evaluated before and after surgical intervention clinically and by spectral-domain OCT. The patients were 44 (case 1), 22 (case 2) and 24(case 3) years old. Pars plana vitrectomy (PPV)+silicone oil+laser, PPV+sulfur hexafluoride gas (SF6)+laser and pneumatic retinopexy were applied, respectively. The patients were followed for 18, 15 and 14months. Preoperative best-corrected visual acuities (BCVAs) were 5/100, 7/10 and counting fingers at 1m. Vision improved in all cases with resolution of subretinal fluid. Final BCVAs were 3/10, 10/10 and 1/10, respectively. OCT images revealed optic disc anomaly details and changes after surgical intervention, photoreceptor outer segment alterations at the detached area and macular surface changes. Surgical intervention should be tailored individually in cases with SMD. OCT is efficient for in vivo evaluation of this pathological condition and anatomical outcomes of surgery.