Serous macular detachment associated with optic nerve head cupping in pigmentary glaucoma

The chapter begins by discussing optic nerve head anatomy and aqueous fluid dynamics, before covering the key clinical skills, namely optic nerve head assessment in glaucoma, tonometry and pachymetry , gonioscopy, and perimetry. It also covers the key areas of clinical knowledge, including ocular hypertension, primary open-angle glaucoma, acute angle closure, normal-tension glaucoma, steroid-induced glaucoma, traumatic glaucoma, inflammatory glaucomas, pseudoexfoliative and pigmentary glaucoma, neovascular glaucoma, malignant glaucoma, iridocorneal endothelial syndrome and iridocorneal dysgenesis, ocular hypotensive agents, laser therapy for glaucoma, and glaucoma surgery. The chapter concludes with three case-based discussions, on open-angle glaucoma, angle closure glaucoma, and steroid glaucoma.

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Macular Detachment Associated With Congenital Pit of the Optic Nerve Head

Archives of Ophthalmology ◽

10.1001/archopht.1963.00960050348014 ◽

1963 ◽

Vol 70 (3) ◽

pp. 346 ◽

Cited By ~ 81

Author(s):

ANDREW P. FERRY

Keyword(s):

Optic Nerve ◽

Optic Nerve Head ◽

Macular Detachment

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A Patient With Optic Nerve Pit Maculopathy Successfully Treated With Juxtapapillary Laser Photocoagulation

Case Reports in Clinical Practice ◽

10.18502/crcp.v6i4.7856 ◽

2021 ◽

Author(s):

Homayoun Nikkhah ◽

Iman Ansari ◽

Kiana Hassanpour

Keyword(s):

Optic Nerve ◽

Optic Disc ◽

Laser Photocoagulation ◽

Systemic Hypertension ◽

Serous Macular Detachment ◽

Abnormal Finding ◽

Macular Detachment ◽

History Of ◽

Funduscopic Examination ◽

The Right

Optic disc pits are rare and congenital or acquired anomalies of the optic disc, usually 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. A 55-year-old woman with a past medical history of diabetes mellitus and systemic hypertension was referred for an abnormal finding in the retina. The Corrected Distance Visual Acuity (CDVA) was 20/40 in the right eye and 20/30 in the left eye. Marcus-Gunn was negative and Slit-lamp biomicroscopy revealed no pathologic findings in both eyes. Funduscopic examination showed an excavation in the inferotemporal part of the Optic Nerve Head (ONH) with serous macular detachment extending to the optic disc. Based on clinical examination and paraclinical imaging fluorescein Angiogeraphy (FAG) Optical Coherence Tomography (OCT), optic pit maculopathy was diagnosed and the patient underwent Juxtapapillary Laser Photocoagulation (JLP). After 2 years of follow-up, there were anatomical and functional improvements.

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Optic nerve pit with serous macular detachment resulting in rhegmatogenous retinal detachment.

British Journal of Ophthalmology ◽

10.1136/bjo.77.6.385 ◽

1993 ◽

Vol 77 (6) ◽

pp. 385-386 ◽

Cited By ~ 9

Author(s):

G P Theodossiadis ◽

C Koutsandrea ◽

P G Theodossiadis

Keyword(s):

Optic Nerve ◽

Retinal Detachment ◽

Rhegmatogenous Retinal Detachment ◽

Serous Macular Detachment ◽

Macular Detachment

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Glaucoma

10.1093/med/9780199672516.003.0008 ◽

2016 ◽

Author(s):

Andrew Tatham ◽

Peng Tee Khaw

Keyword(s):

Optic Nerve ◽

Optic Nerve Head ◽

Open Angle Glaucoma ◽

Clinical Skill ◽

Glaucoma Surgery ◽

Neovascular Glaucoma ◽

Normal Tension Glaucoma ◽

Aqueous Fluid ◽

Angle Closure ◽

Pigmentary Glaucoma

This chapter explores glaucoma. It starts off with an outline of optic nerve head anatomy and then describes aqueous fluid dynamics and the pathogenesis of glaucoma. It then goes on to discuss the clinical skill areas of optic nerve head assessment in glaucoma, glaucoma imaging devices, tonometry and tachymetry, gonioscopy, and perimetry. The chapter also details ocular hypertension, primary open-angle glaucoma, primary angle closure, and secondary angle closure. In addition, it discusses normal tension glaucoma, steroid-induced glaucoma, traumatic glaucoma, inflammatory glaucomas, pseudoexfoliative glaucoma, pigmentary glaucoma, and neovascular glaucoma. It then covers aqueous misdirection, iridocorneal endothelial syndrome and iridocorneal dysgenesis, ocular hypotensive agents, laser therapy for glaucoma, and glaucoma surgery.

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