Treatment of serous maculopathy associated with optic disc pit without vitrectomy: a case presentation

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.

Optik disk pitine baðlý geliþen seröz makülopatinin vitrektomisiz tedavisi: Bir olgu sunumu

Amaç: Optik disk pitine baðlý geliþen seröz makülopati olgusunun lazer fotokoagülasyon ve gaz enjeksiyonu ile tedavisini sunmak.
Olgu: Yirmi bir yaþýnda bayan hasta sol gözde bulanýk görme þikayeti ile baþvurdu. Yapýlan muayenede sol gözde optik diskte pit, düzeltilmiþ en iyi görme keskinliði 20/400 (Snellen), merkezi maküla kalýnlýðý (MMK) 768 µm ve göz içi basýncý 15 mm Hg olduðu görüldü. Optik koherens tomografide seröz makülopati izlendi. Sað göz normal idi. Sol göze parasentezi takiben 0.3 ml perfloropropan (C3F8) gazý vitreus boþluðuna verildi. Üç gün süresince, günde 5 saat yüz üstü pozisyon verildi. Optik disk temporaline lazer fotokoagülasyon yapýldý. Gaz enjeksiyonundan sonra topikal brinzolamide %1 ve topical ketorolak tromethamine 2x1/gün üç ay boyunca kullanýldý. Otuzaltý aylýk takip sonunda düzeltilmiþ görmesi 20/40 seviyesine çýktý ve MMK düzeldi. Göz içi basýncýnda deðiþim olmadý.
Sonuç: Optik disk pitine baðlý seröz makülopati tedavisinde perfloropropan gaz enjeksiyonu ve lazer fotokoagülasyonuna ilave topikal medikasyon etkili ve güvenli bulundu.