OPTIC NERVE DISEASES

Optic Disc Pits and Associated Serous Macular Detachments - Clinical Case 1

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OCT horizontal line-scan shows a neurosensorial detachments and a bilaminar structure “schisis-like” between external and internal retinal layers associated to an optic disc pit. The 15-year-old patient has complained of vision loss a month ago.

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One year after surgery. OCT horizontal line-scan showing total recovery of retinal structure after a new surgical technique (pit tamponade with a scleral piece). VA: 20/20 LE.

Evaluations

1st Evaluation - 23 02 2010

Autofluorescence

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Infrared

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Red-free

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OCT (B-Scan) longitudinal

The OCT scan shows a neurosensorial detachments and a bilaminar structure “schisis-like” between external and internal retinal layers associated to an optic disc pit.

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Colour Retinography

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2nd Evaluation - postoperative - 16 03 2010

Anterior Segment Photo

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OCT (B-Scan) longitudinal

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Colour Retinography

In surgery, fibrotic tissue was peeled off and autologous blood was injected into it. Fundus photograph 1 day after surgery

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3rd Evaluation - postoperative - 12 04 2010

Autofluorescence

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Infrared

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Red-free

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OCT (B-Scan) longitudinal

3 weeks after surgery. Reduction of neurosensorial retinal detachment. Note that schisis-like was disappeared.

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Colour Retinography

1 day after surgery. The optic pit was sealed with a scleral piece.

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4th Evaluation - 26 04 2010

Autofluorescence

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Infrared

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Red-free

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OCT (B-Scan) longitudinal

OCT horizontal like-scan shows the sealed pit with the scleral patch .

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Colour Retinography

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5th Evaluation - 15 02 2011

Autofluorescence

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Red-free

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OCT (B-Scan) longitudinal

VA: 20/20 LE.

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Colour Retinography

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6th Evaluation - 17 05 2011

Autofluorescence

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Infrared

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Red-free

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OCT (B-Scan) longitudinal

VA: 20/20 LE.

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Colour Retinography

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7th Evaluation - 22 05 2012

Autofluorescence

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Infrared

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Red-free

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Anterior Segment Photo

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OCT (B-Scan) longitudinal

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Colour Retinography

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8th Evaluation - 22 01 2013

Autofluorescence

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Infrared

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Red-free

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OCT (B-Scan) longitudinal

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Colour Retinography

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9th Evaluation - 18 03 2014

Autofluorescence

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Infrared

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Red-free

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Perimetry

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OCT (B-Scan) longitudinal

AV: 20/22 LE.

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Colour Retinography

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10th Evaluation - 25 03 2015

OCT (B-Scan) longitudinal

AV: 20/22 LE.

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Perimetry

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Colour Retinography

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11th Evaluation - 06 09 2017

Autofluorescence

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Perimetry

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Colour Retinography

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OCT (B-Scan) longitudinal

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12th Evaluation - 03 04 2019

Autofluorescence

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OCT (B-Scan) longitudinal

VA: 20/20 LE.

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13th Evaluation - 17 08 2021

Autofluorescence

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Perimetry

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RNFL – Thickness Image

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OCT (B-Scan) longitudinal

VA: 20/20 RE, 20/40 LE.

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Colour Retinography

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14th Evaluation - 07 03 2023

Autofluorescence

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Perimetry

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Ganglion Cell Analysis

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OCTA

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OCT (B-Scan) longitudinal

VA: 20/20 RE, 20/40 LE.

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Colour Retinography

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