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Magnetic resonance imaging evaluation of retro-bulbar optic nerve in patients with optic disc pit maculopathy
, 2, 3
Affiliations- Medical Students Ophthalmology Interest Group, General Ophthalmology Clinic, Medical University of Lublin, Lublin, Poland
- Department of General Ophthalmology, Medical University of Lublin, Lublin, Poland
- Department of Interventional Radiology and Diagnostic Imaging, Medical University of Lublin, Lublin, Poland
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Abstract
Background: Optic disc pit (ODP) is a congenital anomaly characterized by indented area of the optic nerve head most likely originating from the incomplete closure of the superior edge of the embryonic fissure. Maculopathy can occasionally complicate this anomaly as intra-retinal and sub-retinal fluid at the macula. In result, maculopathy is associated with a poor visual prognosis due to a serous macular detachment, formation of macular hole, or atrophy of the retinal pigmented epithelium. In this case series, we report of three patients with unilateral ODP.
Case report: We attempted to analyze the morphologic changes seen in the ODP and evaluate patients with a complete ophthalmologic evaluation, fundus color photography, spectral-domain optical coherence tomography (SD-OCT) scanning, and magnetic resonance imaging (MRI) of globe and orbit. Magnetic resonance imaging scan was done for optic disc diameter (ODD) and optic nerve sheath diameter (ONSD).
Conclusion: We noticed that in the patient who presented with neurosensory detachment in the macula, the ONSD is larger than in the fellow eye and is larger than the remaining two patients with ODP and without neurosensory detachment of the retina.
Abstract
Background: Optic disc pit (ODP) is a congenital anomaly characterized by indented area of the optic nerve head most likely originating from the incomplete closure of the superior edge of the embryonic fissure. Maculopathy can occasionally complicate this anomaly as intra-retinal and sub-retinal fluid at the macula. In result, maculopathy is associated with a poor visual prognosis due to a serous macular detachment, formation of macular hole, or atrophy of the retinal pigmented epithelium. In this case series, we report of three patients with unilateral ODP.
Case report: We attempted to analyze the morphologic changes seen in the ODP and evaluate patients with a complete ophthalmologic evaluation, fundus color photography, spectral-domain optical coherence tomography (SD-OCT) scanning, and magnetic resonance imaging (MRI) of globe and orbit. Magnetic resonance imaging scan was done for optic disc diameter (ODD) and optic nerve sheath diameter (ONSD).
Conclusion: We noticed that in the patient who presented with neurosensory detachment in the macula, the ONSD is larger than in the fellow eye and is larger than the remaining two patients with ODP and without neurosensory detachment of the retina.
Keywords
optic disc pit; OCT; MRI; maculopathy; optic nerve
About this articleTitle
Magnetic resonance imaging evaluation of retro-bulbar optic nerve in patients with optic disc pit maculopathy
Journal
Issue
Vol 5 (2020): Continuous Publishing
Article type
Case report
Pages
25-28
Published online
2020-07-09
Page views
605
Article views/downloads
576
DOI
Bibliographic record
Ophthalmol J 2020;5:25-28.
Keywords
optic disc pit
OCT
MRI
maculopathy
optic nerve
Authors
Katarzyna Baltaziak
Lucyna Baltaziak
Rashed Mustafa Nazzal
Robert Rejdak
Tomasz Pikuła
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