视盘凹陷早期自发性亚感觉液减少1例:罕见病例

Navneet S. Mehrotra, M. Nagpal, Hardik A. Jain, A. Jain
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引用次数: 2

摘要

报告一例伴有视盘凹陷的严重黄斑脱离自发性消退,导致明显的视力改善。男,17岁,主诉左眼视力模糊13天,近3天有所改善。患者10天前到别处就诊,左眼视力为6/60,诊断为视盘凹陷伴浆液性视网膜脱离累及黄斑。医生建议他行玻璃体平面肌切除术并进行气体填塞,但他倾向于等待一段时间。患者向我们报告左眼视力改善至6/9。详细的眼底检查显示一个大的椎间盘,在颞盘边缘有一个凹坑,在颞到中央凹处可见浆液性脱离。建议患者不要进行任何干预,并要求定期随访。我们报告一例17岁的视盘凹陷患者在13天内出现自发性浆液性黄斑脱离,视力明显改善。
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Early Spontaneous Reduction of Subsensory Fluid in A Case of Optic Disc Pit: A Rare Entity
To report a case of spontaneous resolution of a serous macular detachment associated with an optic disc pit, leading to significant visual improvement. A 17 years old male presented to the outpatient department with chief complaints of blurring of vision in the left eye for 13 days, with some improvement in last 3 days. The patient had consulted elsewhere 10 days back and was noted to have a visual acuity of 6/60 in the left eye and was diagnosed to have an Optic disc pit with serous retinal detachment involving the macula. He was advised pars plana vitrectomy with gas tamponade but he preferred to wait for some time. The patient presented to us with improvement of the visual acuity to 6/9 in the left eye. Detailed fundus examination showed a large disc with a pit at the temporal disc margin with serous detachment seen temporal to the fovea. The patient was advised against any intervention and asked for regular follow up. We report a exhibited spontaneous regression of serous macular detachment in a case of optic disc pit within 13 days with significant improvement in visual acuity in a 17 year old patient.
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