REFİK OLTULU, İSMAİL ERŞAN, Günhal ŞATIRTAV, Mehmet OKKA

Optic disc pit with serous macular detachment in a child

Bu yazıda nadir görülen, seröz maküler dekolmanlı optik disk çukurluğu bulunan çocuk olguyu sunuyoruz. Optik disk çukurları 10000de 1den daha az görülür ve olguların %10-15inde iki taraflıdır. Doğumsal optik disk çukuru olgularının yaklaşık %50si seröz makula dekolmanı ile ilişkilidir. Uzun süre devam eden seröz dekolmanlar genellikle makülanın kistik dejenerasyonu ve alttaki retinal pigment epitelinden pigment kaybı ile ilişkilidir. Bundan dolayı, seröz maküla dekolmanı olan gözlerin çoğunda optik disk çukuru oluşumu ile birlikte göreceli olarak kötü görsel prognoz vardır. Burada seröz dekolmanlı optik disk çukuru olan çocuk olgunun değerlendirilmesinin klinik önemini vurguladık.

Seröz maküler dekolmanlı optik disk çukurluğu bulunan bir çocuk

Optic disc pits occur in less than 1 in 10.000. Approximately 50% of cases of congenital optic disc pits are associated with serous macular detachment. Long-standing serous detachments are usually associated with cystic degeneration of the macula and loss of pigment from the underlying retinal pigment epithelium. Hence, most eyes with serous macular detachment associated with an optic disc pit have a relatively poor visual prognosis. We represent a 9-year-old girl with a right optic disc pit associated with serous retinal detachment of the macula. Our experience underline that clinicians must be vigilant about the assessment of optic disc pit and furthermore in the diagnosis of optic disc pit, careful and close ophthalmologic examination for macular detachment is recommended for early diagnosis.

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