玻璃体后脱离后双侧视盘小凹性黄斑病变的自发及手术消退：一例报告

Spontaneous and Surgical Resolution of Maculopathy in Bilateral Optic Disc Pit After Posterior Vitreous Detachment: A Case Report.

作者信息

Eker Serhat, Gonul Saban

机构信息

Isparta Yalvaç State Hospital, Department of Ophthalmology, Isparta, Turkey.

Selcuk University Faculty of Medicine, Department of Ophthalmology, Konya, Turkey.

出版信息

Retin Cases Brief Rep. 2024 Oct 7. doi: 10.1097/ICB.0000000000001664.

DOI:10.1097/ICB.0000000000001664

PMID:39401483

Abstract

PURPOSE

To report a case of bilateral optic disc pit (ODP) maculopathy using a different treatment approach.

METHODS

Observational case report.

RESULTS

A 17-year-old male presented with blurred vision in both eyes. His visual acuity was 20/400 in the right eye and 20/200 in the left eye. Fundus examination revealed bilateral temporal ODP and maculopathy. Optical coherence tomography scans showed severe intraretinal schisis-like changes, subretinal fluid, and parafoveal vitreomacular traction due to posterior hyaloid thickening in both eyes. Pars plana vitrectomy, in combination with internal limiting membrane peeling and gas tamponade, was performed on his left eye. A conservative approach was preferred due to high myopia and milder maculopathy in the right eye. Regressed maculopathy was found after spontaneous posterior vitreous detachment in the right eye.

CONCLUSION

Our case report may contribute to the knowledge regarding the role of vitreomacular abnormalities in the pathogenesis of ODP maculopathy.

摘要

目的

报告1例采用不同治疗方法的双侧视盘小凹（ODP）黄斑病变病例。

方法

观察性病例报告。

结果

一名17岁男性双眼视力模糊。右眼视力为20/400，左眼视力为20/200。眼底检查发现双侧颞侧视盘小凹及黄斑病变。光学相干断层扫描显示双眼均有严重的视网膜内劈裂样改变、视网膜下液以及由于后玻璃体增厚导致的黄斑旁玻璃体黄斑牵拉。对其左眼行玻璃体切割术联合内界膜剥除及气体填充。右眼因高度近视且黄斑病变较轻，故采用保守治疗方法。右眼玻璃体后脱离自发发生后，黄斑病变有所消退。