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  • Optic Disc Pit

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    Prathibha M Chachadi
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    A 48-year-old woman presented with gradual, painless, progressive vision loss in her right eye over the past year. Examination found a 15 degree exotropia of the right eye, as well as a temporal optic disc pit in the right eye with serous retinal detachment and nasal retinoschisis with a foveal scar. OCT imaging confirmed these findings in the right eye. The left eye had presbyopia. The diagnosis was a temporal optic disc pit with serous retinal detachment and nasal retinoschisis with foveal scar in the right eye, along with exotropia. Management of the right eye condition involved pars plana vitrectomy with internal limiting membrane peeling

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    A 48-year-old woman presented with gradual, painless, progressive vision loss in her right eye over the past year. Examination found a 15 degree exotropia of the right eye, as well as a temporal optic disc pit in the right eye with serous retinal detachment and nasal retinoschisis with a foveal scar. OCT imaging confirmed these findings in the right eye. The left eye had presbyopia. The diagnosis was a temporal optic disc pit with serous retinal detachment and nasal retinoschisis with foveal scar in the right eye, along with exotropia. Management of the right eye condition involved pars plana vitrectomy with internal limiting membrane peeling

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    Attribution Non-Commercial (BY-NC)
    Download as PPTX, PDF, TXT or read online from Scribd
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    24 views29 pages

    Optic Disc Pit

    Uploaded by

    Prathibha M Chachadi
    A 48-year-old woman presented with gradual, painless, progressive vision loss in her right eye over the past year. Examination found a 15 degree exotropia of the right eye, as well as a temporal optic disc pit in the right eye with serous retinal detachment and nasal retinoschisis with a foveal scar. OCT imaging confirmed these findings in the right eye. The left eye had presbyopia. The diagnosis was a temporal optic disc pit with serous retinal detachment and nasal retinoschisis with foveal scar in the right eye, along with exotropia. Management of the right eye condition involved pars plana vitrectomy with internal limiting membrane peeling

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pptx, pdf, or txt
    of 29

    Case presentation

    Dr.Prathibha

    A 48 yr old lady, house wife ; was seen on 28 may 2012

    Chief Complaint
    Diminution of vision in right eye since 1 year Deviation of right eye noticed by the family members since 1 year

    History of presenting illness


    Gradual painless progressive loss of vision in right eye Both for distance and near since past 1 year Associated with deviation of right eye noticed by family members Vision was good during childhood and middle age. No h/o trauma, redness No h/o diplopia, No night vision problems No h/o systemic illness(DM/HTN)/hospitalisation for major illness No h/o ocular surgery

    Personal history: married, 2 children Systemic examination : well oriented to time place and person Medical history: NAD Treatment history: NAD

    Ocular examination
    Right Eye
    Vision- Uncorrected DistanceNearPinhole DistanceNear-

    Left Eye
    CF-2 mt Distance6/36RS CF NearNI 6/60 Distance6/18RS CF Near+0.50 DS +1.75 6/6p 6/9RS

    Vision Best corrected

    6/6p 6/6RS

    Subjective correction

    +0.50DS/-1 @9o Near add +1.75

    Anterior segment examination


    RIGHT EYE LEFT EYE

    Anterior segment examination


    RIGHT EYE HEAD POSTURE FASCIAL SYMMETRY OCULAR SYMMETRY LIDS and ADNEXA CORNEA ANTERIOR CHAMBER IRIS PUPIL normal normal 15 deg exotropia normal clear and normal normal depth and content normal surface round regular and reactive to direct and consensual light reflex clear and normal normal clear and normal normal depth and content normal surface round regular and reactive to direct and consensual light reflex clear and normal LEFT EYE normal normal

    LENS

    Extraocular movements
    Heirschbergs test- 15 degree exotropia in right eye

    Indirect Ophthalmoscopy

    Indirect Ophthalmoscopy

    Right Eye

    Right eye Red Free

    Right eye red free

    Left Eye

    Fundus Fluorescein Angiography


    Early Phase

    Arterial Phase

    Venous Phase

    Late Phases
    2 minutes 5 minutes

    Left Eye

    Venous Phase

    Late phase

    Optical coherence tomography

    Right Eye

    Diagnosis
    Right EyeTemporal optic disc pit with Serous retinal detachment and nasal retinoschisis with foveal scar; Exotropia; Myopic astigmatism with presbyopia Left Eye- Presbyopia

    Management
    Right eyePars plana Vitrectomy with ILM peeling and Gas Tamponade- GVP

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