MAY 25, 2018
Macular Disease, Neuro-Ophthalmology/Orbit, Optic Neuropathy , Retina/Vitreous, Vitreoretinal Surgery
Dr. Deependra Singh describes his strategy in managing a patient who presented with morning glory disc maculopathy. After initial diagnosis, the patient maintained 20/20 vision for 7 years, at which point she only displayed nasal thinning. Subsequently, her vision dropped to 20/80 within 1 year, and OCT showed retinoschisis and neurosensory detachment involving the fovea. The fovea also exhibited increased central thickness. Deciding to proceed with surgery early, Dr. Singh performed a 25-gauge vitrectomy, taking special care during PVD induction. He peeled 3-disc diameters of ILM over the macula area, followed by air-fluid exchange. Follow-up showed improvement as early as 2 weeks, with vision returning to 20/20 at week 5.
Relevant Financial Discosures: None