Serous macular detachment associated with optic nerve head cupping in pigmentary glaucoma

Maidana, Daniel E.; Sanz, Silvia; Lillo, J.; Arruga, J

doi:10.1016/j.jcjo.2014.01.003

Cited by 4 publications

(6 citation statements)

References 4 publications

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Section: Fig 5 Fluorescein Angiography Shows Increasing Hyperfluoresc...supporting

confidence: 90%

“…Similar to our patient, there is a report of a patient with concurrent ODP maculopathy and PG with advanced disc cupping, with no visible pit on fundus examination 19 . However, the authors detected space by SD-OCT that resembled congenital pit, masked by the acquired neuroretinal rim loss 19 . In our case, ODP was suspected on fundus examination of the left eye, but it was finally confirmed by 2D and 3D SD-OCT reconstruction of the left eye ONH.…”

Section: Fig 5 Fluorescein Angiography Shows Increasing Hyperfluoresc...supporting

confidence: 90%

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Bilateral Serous Chorioretinopathy and Pigmentary Glaucoma – What is the Association?

Lešin Gaćina

2022

ACC

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We present a patient with concurrent pigmentary glaucoma, bilateral central serous chorioretinopathy and unilateral optic disc pit, and propose a possible association of these conditions. Comprehensive ophthalmic examination of a 36-year-old man who was complaining of blurry vision and pain in the eyes showed reduced visual acuity on the left eye, elevated intraocular pressure in the right eye, bilateral signs of pigment dispersion syndrome, and bilateral central serous chorioretinopathy, combined with optic disc pit in the left eye. Visual field and optical coherence tomography findings demonstrated functional and structural glaucoma changes. Choroidal circulation abnormalities were observed by angiographic methods. Genetic and developmental anomalies of the external layer of the optic disc cup that gives rise to many anterior and posterior eye segment structures suggest a possible association of a clinical condition characterized by the combination of pigmentary glaucoma, central serous chorioretinopathy and optic disc pit. Future research would enable to determine proper diagnostic protocols, treatment and follow-up procedures for this chronic-progressive disorder.

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Section: Fig 5 Fluorescein Angiography Shows Increasing Hyperfluoresc...supporting

confidence: 90%

Section: Fig 5 Fluorescein Angiography Shows Increasing Hyperfluoresc...supporting

confidence: 90%

Bilateral Serous Chorioretinopathy and Pigmentary Glaucoma – What is the Association?

Lešin Gaćina

2022

ACC

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“…For glaucoma-associated macular retinoschisis, conservative management was also chosen in 12 of the 40 reported eyes (Table 4) [1,8,9,13,14,17,[26][27][28].…”

Section: Therapeutic Managementmentioning

confidence: 99%

Severe macular complications in glaucoma: high-resolution multimodal imaging characteristics and review of the literature

et al. 2023

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Purpose To describe imaging characteristics of severe macular complications occurring in glaucoma and discuss available treatments. Methods Retrospective case series of glaucomatous patients with macular retinoschisis (MR) and/or serous retinal detachment (SRD). Patients underwent a complete ophthalmological examination and multimodal imaging including retinography, SD-OCT, fluorescein and indocyanine green angiography (FA & ICGA) and adaptive optics (AO). Results Ten eyes (8 patients) were included. Initial BCVA was 1.04 ± 1.12 logMAR and IOP was 24.0 ± 9.3mmHg. All eyes presented with MR while SRD was present in 5 eyes (5 patients), with a central macular thickness of 573 ± 152 μm. FA and ICGA allowed to exclude leakage in all cases. A focal lamina cribrosa defect (LCD) was found in four eyes (4 patients) using OCT, with AO providing en-face visualization of the defect in one eye. Outer retinal hole was present in 3 eyes (3 patients). No visual improvement or resolution of the macular retinoschisis was observed in eyes with medical or surgical IOP control (N = 9). Vitrectomy with internal membrane limiting peeling and gas tamponade was performed in one eye with good visual results. Conclusions Multimodal high-resolution imaging is essential to diagnose severe macular complications associated with advanced glaucoma.

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“…For glaucoma-associated macular retinoschisis, conservative management was also chosen in 12 of the 40 reported eyes (Table 3) [1,8,9,15,18,[25][26][27][28].…”

Section: Therapeutic Managementmentioning

confidence: 99%

“…No cases of trabeculectomy combined with another surgical procedure have been reported in literature. In one eye with uncontrolled IOP and poor visual acuity (BCVA of 2.3 logMAR), a transscleral cyclophotocoagulation procedure was performed, with a good IOP result but no improvement in BCVA or macular thickness (Table3)[25]. Prinzi et al performed temporal peripapillary barrier laser photocoagulations in 5 eyes with glaucoma-associated macular retinoschisis.…”

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confidence: 99%

Severe macular complications in glaucoma: high-resolution multimodal imaging characteristics and review of the literature

Lama

Pâques

Brasnu

et al. 2022

Preprint

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Purpose: To describe imaging characteristics of severe macular complications occurring in glaucoma and discuss available treatments.Methods: Retrospective case series of glaucomatous patients with macular retinoschisis (MR) and/or serous retinal detachment (SRD). Patients underwent a complete ophthalmological examination and multimodal imaging including retinography, SD-OCT, fluorescein and indocyanine green angiography (FA & ICGA) and adaptive optics (AO). Results: Ten eyes (8 patients) were included. Initial BCVA was 1.04 ± 1.12 logMAR and IOP was 24.0 ± 9.3mmHg. All eyes presented with MR while SRD was present in 5 eyes (5 patients), with a central macular thickness of 573 ± 152mm. FA and ICGA allowed to exclude leakage in all cases. A focal lamina cribrosa defect (LCD) was found in four eyes (4 patients) using OCT, with AO providing en-face visualization of the defect in one eye. Outer retinal hole was present in 3 eyes (3 patients). No visual improvement or resolution of the macular retinoschisis was observed in eyes with medical or surgical IOP control (N = 9). Vitrectomy with internal membrane limiting peeling and gas tamponade was performed in one eye with good visual results. Conclusions: Multimodal high-resolution imaging is essential to diagnose severe macular complications associated with advanced glaucoma.

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Serous macular detachment associated with optic nerve head cupping in pigmentary glaucoma

Cited by 4 publications

References 4 publications

Bilateral Serous Chorioretinopathy and Pigmentary Glaucoma – What is the Association?

Bilateral Serous Chorioretinopathy and Pigmentary Glaucoma – What is the Association?

Severe macular complications in glaucoma: high-resolution multimodal imaging characteristics and review of the literature

Severe macular complications in glaucoma: high-resolution multimodal imaging characteristics and review of the literature

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