Congenital optic nerve anomaly and migration of subretinal oil: case report and observations in one family.

Carle Michelle V, Rahhal Michael C, Rahhal Firas M

*Retina Vitreous Associates Medical Group, Los Angeles, California; and †Jules Stein Eye Institute, University of California Los Angeles, Los Angeles, California.

Retin Cases Brief Rep. 2014 Fall;8(4):286-91. doi: 10.1097/ICB.0000000000000076.

PURPOSE

To describe a case of optic nerve (ON) anomaly and retinal detachment with extensive subretinal silicone oil after repair of retinal detachment. A three-generation family history of ON anomaly, two generations with detachment, is presented.

METHODS

Retrospective chart review. A multigenerational family with ON anomalies and macular detachment.

RESULTS

Final repair of retinal detachment was achieved using retinotomy for removal of subretinal 5,000-centistoke silicone oil, gas-fluid exchange, and peripapillary photocoagulation. Silicone oil had been previously used successfully in this eye, yet on subsequent use resulted in subretinal migration. A four patient-three-generation family history of ON anomalies was elicited, and three members were photographed for documentation.

CONCLUSION

Optic nerve anomalies and macular detachment present a treatment dilemma because they are associated with poor vision and often a suboptimal visual outcome after surgery. This case demonstrates a large amount of subretinal silicone oil, which migrated over a 2-month period. This case series is a report of a three-generational family demonstrating variable expressivity of ON anomalies complicated by macular detachment in two generations.