TEN-YEAR FOLLOW-UP OF FLUID FLUCTUATIONS IN A PATIENT WITH OPTIC DISK PIT MACULOPATHY.
Jean-Baptiste Morel, Elodie Bousquet, Sofiane Khamkhoum et al.
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Case in brief
A patient with optic disk pit maculopathy had severe subretinal fluid involving the fovea and underwent pars plana vitrectomy. The fluid resolved for 2 years, then subretinal fluid recurred alongside intraretinal fluid. Both subsequently resolved spontaneously, and visual acuity was good at 10 years. Serial retinal imaging also showed fluctuating peripapillary choroidal thickness: it initially increased transiently, then decreased continuously over the following 8 years.
What made this case unusual
After postoperative fluid resolution, both subretinal and intraretinal fluid recurred and later resolved spontaneously. Peripapillary choroidal thickness also changed over the long follow-up, suggesting possible concomitant choroidal involvement in subretinal fluid occurrence.
Diagnostic / clinical pearl
In optic disk pit maculopathy, fluid may recur and later resolve spontaneously; serial OCT can document changes in both retinal fluid and peripapillary choroidal thickness.
Why it matters
The observed choroidal thickness fluctuations raise the possibility of choroidal involvement in subretinal fluid, although this single case does not establish a causal relationship.