Colobomatous pits of the optic nerve papilla associated with serous retinal detachment. The clinical and pathogenic aspects

The present study is about a number of 19 cases (19 eyes), the patients having a congenital pit of the optic papilla (CPP) complicated with serous retinal detachment (SRD). The cases were selected, from a group of 41 patients with CPP. Average age of the cases was 37(31-54) years. The serous retinal...

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Published inOftalmologia (Bucharest, Romania : 1990) Vol. 51; no. 2; p. 54
Main Authors Munteanu, M, Munteanu, G, Zolog, I, Giuri, S, Chercota, V
Format Journal Article
LanguageEnglish
Romanian
Published Romania 2000
Subjects
Adult
Coloboma - complications
Coloboma - diagnosis
Female
Fluorescein Angiography
Fundus Oculi
Humans
Male
Middle Aged
Ophthalmoscopy
Optic Disk - abnormalities
Prospective Studies
Retinal Detachment - diagnosis
Retinal Detachment - etiology
Visual Acuity
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Summary:The present study is about a number of 19 cases (19 eyes), the patients having a congenital pit of the optic papilla (CPP) complicated with serous retinal detachment (SRD). The cases were selected, from a group of 41 patients with CPP. Average age of the cases was 37(31-54) years. The serous retinal detachment appeared under two different clinical appearances: the detachment of the internal retinal layers (DIRL) or retinal schisis, 10 cases, located between the papillae and macula, and involving the optic disc; the detachment of the external retinal layers (DERL), 9 cases, located within the macular area, without involvement of the optic disc. A number of 8 cases (42%) developed a macular hole, located within the external retinal layers. The cases with DIRL had better visual acuity, compared to those with DERL. This study proves the bilamellate character, of the serous retinal detachment. The disease starts with DIRL (retinal schisis), due to fluid passing at the level of the CPP and then DERL develops as a complication, following the degenerescence of the retinal layers within this area.
ISSN:1220-0875