IMPROVEMENT OF MACULOPATHY ASSOCIATED WITH CAVITARY OPTIC DISK ANOMALIES TREATED WITH TOPICAL ANTIGLAUCOMA MEDICATIONS.
Masaharu Mizuno, Akito Hirakata, Tomoka Ishida et al.
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Case in brief
Two young women developed worsening visual acuity associated with serous retinal detachment and maculopathy in the setting of cavitary optic disk anomalies. One had optic disk pit maculopathy; the other had a large optic disk with an atypical disk coloboma. After topical antiglaucoma medications were started, subretinal fluid resolved in both cases and visual acuity improved. The report notes that spontaneous resolution cannot be excluded, so the observed improvement does not establish that treatment caused the resolution.
What made this case unusual
The two cases involved different cavitary disk anomalies, including a large disk with atypical coloboma, and both showed resolution of subretinal fluid after topical antiglaucoma treatment.
Diagnostic / clinical pearl
In maculopathy associated with cavitary optic disk anomalies, document retinal fluid and visual acuity; improvement after topical antiglaucoma medication is possible, but spontaneous resolution remains an alternative explanation.