Association of macular microhole and optic disc pit

Optic disc pit and macular microhole are two rare pathologies with an extremely low likelihood of coexistence, this paper will report an association of both pathologies in the same eye with the purpose of analyzing clinical manifestations, tests, angiography, OCT, retinography, biomocroscopy, treatment outcome and the connection between the optic disc pit and macular microhole.

Retinal perforations; Fundis oculi; Optic disc; Tomography, optical coherence; Case reports

SCIMAGO INSTITUTIONS RANKINGS

Universidade da Região de Joinville, Faculdade de Medicina , Joinville, Santa Catarina, BrazilUniversidade da Região de JoinvilleBrazilJoinville, Santa Catarina, BrazilUniversidade da Região de Joinville, Faculdade de Medicina , Joinville, Santa Catarina, Brazil

Hospital de Olhos Sadalla Amin Ghanem, Joinville, , BrazilHospital de Olhos Sadalla Amin GhanemBrazilJoinville, , BrazilHospital de Olhos Sadalla Amin Ghanem, Joinville, , Brazil

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Figure 1.
Evolution of sensorydetachment of the retina over months after laser photocoagulation. The top right retinography shows the area of sensorymacular detachment. The bottom right retinography shows the resolution of the detachment, with macular pigment alteration and juxta papillary scarring as a result of laser photocoagulation. The sequence of OCTs shows a gradual resolution of the detachment. The upper image shows the optic discpit by the nerve and the sensory detachment at the temporal edge of the papilla. The bottom image shows the increased reflectivity of the subretinalfluid which is likely due to a change in sub retinalfluid throughout the long period of detachment.

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Figure 2.
The top left-hand image is a retinography of the right eye where a papillary pit with optociliary vessel and foveal punctiform pigment alteration (both highlighted) can be observed. The OCT shows the defect in the foveal region, at the transition line between the internal and external segments of photoreceptors, referring to a macular microhole. In the OCT of the left eye on the bottom right-hand side, vitreous adherence at the area of sensory detachment can be observed. The lower OCT shows resolution of detachment after vitrectomy.

Figure 1. Evolution of sensorydetachment of the retina over months after laser photocoagulation. The top right retinography shows the area of sensorymacular detachment. The bottom right retinography shows the resolution of the detachment, with macular pigment alteration and juxta papillary scarring as a result of laser photocoagulation. The sequence of OCTs shows a gradual resolution of the detachment. The upper image shows the optic discpit by the nerve and the sensory detachment at the temporal edge of the papilla. The bottom image shows the increased reflectivity of the subretinalfluid which is likely due to a change in sub retinalfluid throughout the long period of detachment.

Figure 2. The top left-hand image is a retinography of the right eye where a papillary pit with optociliary vessel and foveal punctiform pigment alteration (both highlighted) can be observed. The OCT shows the defect in the foveal region, at the transition line between the internal and external segments of photoreceptors, referring to a macular microhole. In the OCT of the left eye on the bottom right-hand side, vitreous adherence at the area of sensory detachment can be observed. The lower OCT shows resolution of detachment after vitrectomy.

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Association of macular microhole and optic disc pit

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