A Case of Serous Macular Detachment Associated with Tractional Fibrous Tissue in an Optic Pit Patient.

Baek, Ji Sun; Cho, Sung Won

doi:2012.53.4.592

J Korean Ophthalmol Soc > Volume 53(4); 2012 > Article

Case Report

Journal of the Korean Ophthalmological Society 2012;53(4):592-596.
DOI: https://doi.org/10.3341/jkos.2012.53.4.592 Published online April 15, 2012.

A Case of Serous Macular Detachment Associated with Tractional Fibrous Tissue in an Optic Pit Patient.

Ji Sun Baek, Sung Won Cho

Department of Ophthalmology, Konyang University, Kim's Eye Hospital, Myung-Gok Eye Research Institute, Seoul, Korea. eyecure@kimeye.com

시신경유두소와에서 섬유조직 견인과 동반된 황반부 장액성 망막박리 1예

백지선⋅조성원

Department of Ophthalmology, Konyang University, Kim’s Eye Hospital, Myung-Gok Eye Research Institute, Seoul, Korea

Abstract

PURPOSE
To report a case of serous macular detachment associated with tractional fibrous tissue in an optic pit patient successfully treated by vitrectomy without laser photocoagulation. CASE SUMMARY: A 15-year-old female visited our hospital for visual disturbance of her left eye. The patient's best-corrected visual acuity was 0.5. After ophthalmic examinations, the patient was diagnosed with an optic pit associated serous macular detachment. Pars plana vitrectomy with complete posterior vitreous detachment was performed. A thick fibrous tissue within the optic disc cupping was found. During removal of the fibrous tissue, the tissue was observed to be attached to a tiny hole above the optic pit. The thick fibrous tissue was tugging at the margin of the hole and was removed using intraocular forceps to relieve the traction. Fluid-gas exchange was then performed and the operation was completed without laser photocoagulation around the optic disc. The fovea was reattached completely in 12 months and visual acuity was improved to 0.8.

Key Words: Laser photocoagulation;Optic pit;Serous macular detachment