Surgical treatment of macular detachment secondary to congenital pit of the optic disc: case report

Arquivos Brasileiros de Oftalmologia

Otacílio De Oliveira Maia Júnior¹  Danilo Sone Soriano²  Walter Yukihiko Takahashi²  Hisashi Suzuki² 

[1],Monte Tabor Foundation São Rafael Hospital Department of OphthalmologySalvador BA ,Brazil

关键词: Optic nerve;    Vitreous body;    Vitrectomy;    Retinal detachment;    Retinal detachment;    Tomography;    optical coherence;    Case reports;    Nervo óptico;    Corpo vítreo;    Vitrectomia;    Descolamento retiniano;    Descolamento retiniano;    Tomografia de coerência óptica;    Relatos de casos;   

DOI  :  10.1590/S0004-27492008000600022

来源: SciELO

【 摘 要 】

The authors describe a patient with macular detachment in the right eye, secondary to congenital pit of the optic disc, submitted to vitrectomy, drainage of the subretinal fluid, perfluorocarbon, endolaser and perfluoropropane gas (C3F8). A sample of the vitreous humor was taken for comparative analysis with the subretinal fluid. Results of retinography, optical coherence tomography, and illustrations of the surgical procedure are presented. Optical coherence tomography revealed the detachment resolved 6 months after surgery. Visual acuity improved from 20/400 to 20/30. This surgical technique can lead to successful reattachment of the macula and improvement of central vision. Additionally, a qualitative and comparative analysis showed a similar biochemical composition of the subretinal fluid and the vitreous. Despite technical limitations, this analysis can confirm the pathophysiology of the disease, suggesting that the subretinal fluid may originate from the vitreous cavity in macular detachment secondary to congenital pit of the optic disc.

【 授权许可】

CC BY   
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