scholarly journals Optical coherence tomography in optic disc pit diagnosis

2019 ◽  
Vol 12 (1) ◽  
pp. 77-82
Author(s):  
Alevtina S. Stoyukhina
Keyword(s):  
Congenital Anomaly ◽  
Optical Coherence Tomography ◽  
Optic Disc ◽  
Clinical Case ◽  
Subretinal Space ◽  
Macular Area ◽  
Optic Disc Pit ◽  
Fiber Layer ◽  
Intraocular Tumor ◽  
Erroneous Diagnosis

The optic disc pit is a congenital anomaly, presenting as a round or oval depression in the optic disc, 0.10.7 disc diameters in size, located mainly along its lower-temporal margin. Approximately in 45-75% of the eyes with congenital optic disc pit a serous detachment of neuroepithelium (NED) in the macular area develops, which could become a cause for an erroneous diagnosis of an intraocular tumor. The article presents a clinical case of the optic disc pit, which required a differential diagnosis with an intraocular tumor. It is shown that OCT signs of the optic disc pit are: the connection of optic disc structures with the subretinal space, as well as the presence of signs of invagination of the retinal nerve fiber layer in the optic disc structures.

Dense laser at the papillomacular bundle does not cause loss of visual function

2020 ◽  
pp. 112067212096345
Author(s):  
Edward Bloch ◽  
Lyndon da Cruz
Keyword(s):  
Nerve Fiber ◽  
Optic Disc ◽  
Visual Function ◽  
Perceived Risk ◽  
Structural Damage ◽  
Optic Disc Pit ◽  
Fiber Layer ◽  
Nerve Fiber Layer ◽  
Optic Disc Pit Maculopathy ◽  
Papillomacular Bundle

Introduction: Juxtapapillary laser (JPL) photocoagulation in the region of the papillomacular bundle, temporal to the optic nerve, has become routine care in disorders such as optic disc pit maculopathy. Despite evidence demonstrating safe and effective use of this approach, there is still a lack of consensus in the literature, due to the perceived risk of loss of visual function. Instances of such misplaced caution could result in inadequate treatment protocols. Methods: An observational series of five cases of optic disc pit maculopathy, treated with dense temporal juxtapapillary endolaser, in a single tertiary ophthalmic hospital. Results: None of the reported cases of optic disc pit maculopathy treated with dense juxtapapillary laser demonstrated anatomical or perimetric findings consistent with nerve fiber layer damage in the region of the papillomacular bundle. Conclusions: This series demonstrates that dense laser photocoagulation, in the vicinity of the papillomacular bundle, does not cause structural damage to the nerve fiber layer or associated loss of visual function in optic disc pit maculopathy. Appropriate application of juxtapapillary laser is a safe and effective treatment for various macular pathologies.

Long-Term Changes of Macular Thickness after Pars Plana Vitrectomy in Optic Disc Pit Maculopathy: A Spectral-Domain Optical Coherence Tomography Study

2015 ◽  
Vol 32 (3) ◽  
pp. 302-308 ◽  
Author(s):  
Irini Chatziralli ◽  
George Theodossiadis ◽  
Dimitrios Panagiotidis ◽  
Ioannis Emfietzoglou ◽  
Vlassis Grigoropoulos ◽  
...  
Keyword(s):  
Optical Coherence Tomography ◽  
Optic Disc ◽  
Pars Plana Vitrectomy ◽  
Spectral Domain ◽  
Optical Coherence ◽  
Optic Disc Pit ◽  
Long Term Changes ◽  
Pars Plana ◽  
Optic Disc Pit Maculopathy

scholarly journals Ocular imaging findings of bilateral optic disc pit in a child

2013 ◽  
Vol 5 (2) ◽  
pp. 258-261 ◽  
Author(s):  
Abdullah Ozkaya ◽  
Z Alkin ◽  
AT Taylan ◽  
A Demirok
Keyword(s):  
Visual Acuity ◽  
Optic Nerve ◽  
Nerve Fiber ◽  
Optic Disc ◽  
Anterior Segment ◽  
Rare Condition ◽  
Optic Disc Pit ◽  
Fiber Layer ◽  
Retinal Nerve Fiber

Background: To report a rare condition of bilateral optic disc pit in a child. Case description: A ten-year-old female was admitted with a complaint of headache. Visual acuity was 20/20 in both eyes (OU). Anterior segment examination was normal in OU. Fundus examination revealed optic disc pit (ODP) located temporally with a diameter of 1/5 disc diameter in OU. Intraocular pressure was within normal limits in both eyes. Macular optical coherence tomography (OCT) showed a loss of retinal tissue at the site corresponding to the ODP in both eyes. Retinal nerve fiber OCT revealed decreased RNFL thickness at the temporal side of the optic nerve, corresponding to the ODP in both eyes. The patient and patient’s parents were informed about the disease and called for follow-up examinations every 6 months. In addition, the family was informed about optic pit maculopathy (OPM) and, they were told to return immediately if the patient ever complained of decreased vision in either of her eyes. After a follow-up period of 12 months, visual acuity remained stable, and no complications secondary to ODP were detected. Conclusion: Optic disc pit is diagnosed incidentally unless it is complicated with OPM. The retinal nerve fiber layer thickness is decreased at the side of the optic nerve corresponding to the ODP. Nepal J Ophthalmol 2013; 5(10): 258-261 DOI: http://dx.doi.org/10.3126/nepjoph.v5i2.8739

Vitreous findings in optic disc pit maculopathy based on optical coherence tomography

2007 ◽  
Vol 245 (9) ◽  
pp. 1311-1318 ◽  
Author(s):  
Panagiotis G. Theodossiadis ◽  
Vlassis G. Grigoropoulos ◽  
John Emfietzoglou ◽  
George P. Theodossiadis
Keyword(s):  
Optical Coherence Tomography ◽  
Optic Disc ◽  
Optical Coherence ◽  
Optic Disc Pit ◽  
Optic Disc Pit Maculopathy
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