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11 - Treatment of serous maculopathy associated with optic disc pit without vitrectomy: a case presentation
Mehmet Demir, Dilek Guven, Zeynep Acar, Erdem Ergen
Objective: To report an serous maculopathy associated with optic disc pit which was treated with gas injection and laser photocoagulation.
Case: A 21-year-old female was admitted with blurred vision in the left eye. Optic disc pit was detected in the left eye. Best corrected visual acuity (BCVA) was 20/400 (Snellen), central macular thickness (CMT) was 768 µm and intraocular pressure was 15 mmHg in the left eye. Right eye was normal. After corneal paracentesis, 0.3 ml perfluoropropane (C3F8) gas was injected into vitreous cavity and the patient was advised to assume facedown position for 3 days. Laser photocoagulation was performed on the temporal side of the optic disc. Topical brinzolamide 1 % and topical ketorolac tromethamine were used 2x1/day for 3 months after gas injection. At 36th month BCVA was 20/40, CMT reduced. No change in intraocular pressure was observed during follow up.
Conclusion: Perfluoropropane injection and laser photocoagulation with topical medication were effective and safe for serous maculopathy associated with optic disc pit.
Keywords: Intravitreal gas, laser, optic disc pit, serous maculopathy
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