September 2016
Volume 57, Issue 12
Open Access
ARVO Annual Meeting Abstract  |   September 2016
Three Dimension Spectral Domain Optical Coherence Tomography: an Important Tool for Diagnosis, Treatment and Follow-up of Optic Disc Pit in Elderly Patients
Author Affiliations & Notes
  • Luis Alberto Zeman Bardeci
    División Oftalmología, Hospital de Clínicas, City of Buenos Aires, Buenos Aires, Argentina
  • Matias Iglicki
    División Oftalmología, Hospital de Clínicas, City of Buenos Aires, Buenos Aires, Argentina
  • Mariano Cotic
    División Oftalmología, Hospital de Clínicas, City of Buenos Aires, Buenos Aires, Argentina
  • Marcos Mendaro
    División Oftalmología, Hospital de Clínicas, City of Buenos Aires, Buenos Aires, Argentina
  • Lucas Adamo
    División Oftalmología, Hospital de Clínicas, City of Buenos Aires, Buenos Aires, Argentina
  • Jorge Bar
    División Oftalmología, Hospital de Clínicas, City of Buenos Aires, Buenos Aires, Argentina
  • Pablo Chiaradia
    División Oftalmología, Hospital de Clínicas, City of Buenos Aires, Buenos Aires, Argentina
  • Marcelo Zas
    División Oftalmología, Hospital de Clínicas, City of Buenos Aires, Buenos Aires, Argentina
  • Footnotes
    Commercial Relationships   Luis Alberto Zeman Bardeci, None; Matias Iglicki, None; Mariano Cotic, None; Marcos Mendaro, None; Lucas Adamo, None; Jorge Bar, None; Pablo Chiaradia, None; Marcelo Zas, None
  • Footnotes
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Investigative Ophthalmology & Visual Science September 2016, Vol.57, 3392. doi:
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      Luis Alberto Zeman Bardeci, Matias Iglicki, Mariano Cotic, Marcos Mendaro, Lucas Adamo, Jorge Bar, Pablo Chiaradia, Marcelo Zas; Three Dimension Spectral Domain Optical Coherence Tomography: an Important Tool for Diagnosis, Treatment and Follow-up of Optic Disc Pit in Elderly Patients. Invest. Ophthalmol. Vis. Sci. 2016;57(12):3392.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose : Our purpose was to study the clinical manifestations and course of optic pit maculopathy using Spectral Domain Optical Coherence Tomography (SD- OCT) in elderly patients who were misdiagnosed for this condition.
The origin of the fluid and precise pathophysiology of optic disc pit maculopathy remains unclear. It has been suggested that submacular fluid originates either from vitreous or cerebrospinal fluid. We report a case series of optic disc pit maculopathy which were unsuccessfully diagnosed without using SD OCT. Using this technique we achieved to distinguish this pathology, treat it and follow its evolution.

Methods : We examined 35 eyes of 32 patients with macular detachment combined with optic disc pit. All patients were 65 years old or older.
They were mistreated as neovascular membrane due to age-related maculopathy.
The diagnosis and monitoring of patients were done by means of: symptoms, Fluorescein Angiography, SD-OCT and Best Corrected Visual Acuity (BCVA) with ETDRS charts. Patients visual acuity prior to surgery was in average 20/300.

Results : We observed six different foveal appearances in regard to fluid localization. We could clearly distinguish optic disc pit and neovascular membrane using this technology. Fluid accumulation was observed below the margin of the optic disc and hyperreflective porous tissue was onserved in the optic disc excavation. We were able to diagnose optic disc pit faster and better.

Conclusions : Considering that this OCT technique has no relevant side effects, we strongly recommend using it in every patient who has any kind of maculopahty, since optic disc pit could be a probable differential diagnosis.
3-dimensional SD-OCT scans revealed a connection between subretinal space, intraretinal space, perineural space, and the vitreous cavity. Therefore, we suggest that intraretinal or subretinal fluid in optic disc pit maculopathy may have both a vitreous and cerebrospinal origin, as it has been published.

This is an abstract that was submitted for the 2016 ARVO Annual Meeting, held in Seattle, Wash., May 1-5, 2016.

 

 

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