MEDLINE Journals

    Long-term visual outcome in patients with optic nerve pit and serous retinal detachment of the macula.

    Authors
    Sobol WM, Blodi CF, Folk JC, et al. 
    Source
    Ophthalmology 1990 Nov; 97(11) :1539-42.
    Abstract

    Serous detachment of the macula is a well-known complication in patients with an optic nerve pit. Despite the many descriptions of this condition and possible treatment options, the long-term natural history is not well known. The authors identified 15 eyes of 15 consecutive patients seen over 21 years who were diagnosed with a serous detachment of the macula arising from an optic nerve pit. Average length of follow-up was 9 years. Twelve eyes lost three or more lines of vision, two eyes remained unchanged, and only one eye improved. All of the 12 eyes losing three or more lines of vision experienced this decrease within the first 6 months of follow-up. Although only two patients had a visual acuity of 20/200 or less initially, 12 of 15 patients had a visual acuity of 20/200 or less at the time of their last examination. The appearance of the macula at last examination included cystic changes of the neurosensory retina, full-thickness hole formation, retinal pigment epithelial mottling, and lamellar hole formation in the outer retinal layer. The long-term visual prognosis in patients with optic nerve pit and untreated serous retinal detachment of the macula is poor, and visual loss occurs within 6 months of the serous detachment.

    Mesh
    Adolescent
    Adult
    Aged
    Child
    Female
    Follow-Up Studies
    Fundus Oculi
    Humans
    Longitudinal Studies
    Macula Lutea
    Male
    Middle Aged
    Optic Nerve Diseases
    Prognosis
    Retinal Detachment
    Visual Acuity
    Language

    eng

    Pub Type(s)
    Journal Article Research Support, Non-U.S. Gov't
    PubMed ID

    2255526

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