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Membrane tissue on the optic disc may cause macular schisis associated with a glaucomatous optic disc without optic disc pits

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この文献へのリンクには次のURLを使用してください:http://hdl.handle.net/2115/54613

タイトル: Membrane tissue on the optic disc may cause macular schisis associated with a glaucomatous optic disc without optic disc pits
著者: Takashina, Saori 著作を一覧する
Saito, Wataru 著作を一覧する
Noda, Kousuke 著作を一覧する
Katai, Maki 著作を一覧する
Ishida, Susumu 著作を一覧する
キーワード: optical coherence tomography
pars plana vitrectomy
retinal schisis
glaucoma
optic disc pit maculopathy
発行日: 2013年 5月13日
出版者: Dove Medical Press
誌名: Clinical Ophthalmology
巻: 7
開始ページ: 883
終了ページ: 887
出版社 DOI: 10.2147/OPTH.S42085
抄録: This article reports a case of possible involvement of membrane tissue on the optic disc with macular schisis formation associated with glaucomatous optic disc without optic disc pits. A 78-year-old man presented with loss of central visual acuity of the left eye. He had a medical history of primary open-angle glaucoma. Visual acuity was 0.6 in his left eye, and funduscopy revealed macular schisis and a glaucomatous optic disc without optic disc pits. Optical coherence tomography (OCT) revealed membrane tissue on the optic disc and a tunnel-like hyporeflective lesion connecting the schisis cavity and a site near the tissue, but no obvious optic disc pit. He underwent pars plana vitrectomy during which the membrane tissue on the disc and internal limiting membrane were removed. Posterior vitreous detachment was observed intraoperatively. Thereafter, the tunnel-like lesion observed on OCT was rapidly obscured and the macular schisis gradually reduced. Eighteen months after surgery, his visual acuity had improved to 0.9 with almost complete regression of the macular schisis. No optic disc pit was visualized after surgery. The changes in OCT findings described here suggest an etiology for macular schisis without optic disc pits in an eye with a glaucomatous optic disc with posterior vitreous detachment. A connection between the schisis cavity and the vitreous cavity may have appeared via the tunnel-like structure due to the membrane tissue exerting traction on the optic disc.
Relation (URI): http://www.dovepress.com/membrane-tissue-on-the-optic-disc-may-cause-macular-schisis-associated-peer-reviewed-article-OPTH
資料タイプ: article
URI: http://hdl.handle.net/2115/54613
出現コレクション:雑誌発表論文等 (Peer-reviewed Journal Articles, etc)

提供者: 石田 晋

 

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