Ten-year follow-up of Fluid Fluctuations in a Patient with Optic Disc Pit Maculopathy.

Abstract

Purpose: The aim of this report was to describe a patient with optic disc pit maculopathy (ODM) associated with intraretinal and subretinal fluid (IRF and SRF) fluctuations, with a 10-year follow-up.

Methods: High-resolution retinal imaging, including spectral-domain optical coherence tomography acquired during the follow-up, was analyzed. The presence of IRF and SRF was assessed, as well as the peripapillary choroidal thickness.

Results: Over the 10-year period, the patient with ODM and severe SRF involving the fovea was initially treated with pars plana vitrectomy, allowing fluid resolution for 2 years. The SRF recurred at the same time as IRF appeared, but both eventually resolved spontaneously. Of note, the peripapillary choroidal thickness fluctuated, and after a transient initial increase over the first two years, a continuous decrease from 186 μm to 72 μm was observed over the last 8 years.

Conclusion: This case of ODM was remarkable for the long postoperative follow-up, and for the recurrence and then spontaneous resolution of the fluid, resulting in good visual acuity after 10 years. The fluctuation in peripapillary choroidal thickness was particularly original, and could suggest at least a concomitant involvement of the choroid in the occurrence of SRF.