Ten years follow-up after surgery for a foveal detachment due to optic disc pit: a case report of outer retinal layer healing

BMC Ophthalmology

Case Report

Bruno R. Morin¹  John G. Conrath¹  François C. Devin¹  Elige A. Chbat¹  Christophe G. H. Morel¹  Audrey Giocanti-Aurégan² 

[1] Monticelli-Paradis Center, 13008, Marseille, France;Ophthalmology department, Avicenne hospital, 125 rue de Stalingrad, 93000, Bobigny, France;

关键词: Foveal detachment;    Optic disc pit;    Photoreceptor regeneration;    Retinal pigment epithelium;    Case report;   

DOI  :  10.1186/s12886-017-0626-9

 received in 2016-06-20, accepted in 2017-11-22,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundTo report a case of complete progressive visual recovery and healing of outer retinal layers after vitrectomy for foveal detachment associated with optic disc pit.Case presentationOptical coherence tomography (OCT) follow-up was performed on a 15-year-old boy with deep optic disc pit and foveal detachment, before and for 10 years after vitrectomy with gas. The foveal detachment was successfully reattached with complete reapplication of the retina. OCT scans showed a progressive long-term retinal healing with reappearance of the ellipsoid line and visual acuity improved from 20/100 before surgery to 20/25, 10 years after surgery.ConclusionsPhotoreceptor regeneration after foveal detachment surgery has been already described only in zebrafish but never humans. However, we highlight with this case that in humans, a healing process of the outer retinal layers can occur with reappearance of the ellipsoid zone on OCT. This healing process may take several years and allow a complete functional restoration.

【 授权许可】

CC BY   
© The Author(s). 2017