Peripapillary subretinal neovascularization and serous macular detachment. Association with congenital optic nerve pits
G. E. Borodic, E. S. Gragoudas, W. O. Edward and R. J. Brockhurst
Congenital anomalous disc changes were associated with acquired macular
detachment and peripapillary choroidal neovascularization in two cases. The
anomalous disc changes resembled optic nerve pits. In one case, the
peripapillary choroidal neovascularization was treated with argon laser
photocoagulation, with subsequent reattachment of the macula and
considerable improvement in the visual acuity. Although the pathogenesis of
macular detachment occurring with optic nerve pits is usually not disclosed
by fluorescein angiography, leakage from choroidal neovascularization can
occur with this congenital defect and may contribute to the formation of a
neurosensory macular detachment. If found, choroidal neovascularization may
represent a remedial cause for visual loss in a condition with an otherwise
poor prognosis.
