PMC3995387_01
a, b Infrared photograph and OCT, showing serous macular detachment. c, d Infrared photograph and OCT, showing optic disc pit (arrow) associated with macular schisis.
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F1
Optical coherence tomography (OCT) confirmed the diagnosis of macular schisis communicating nasally with an optic disc pit, showing a hyporeflective area corresponding to the edge of the pit where there was communication with the schisis cavity (fig. 1).
a-d Early-phase FA and indocyanine angiogram and late-phase FA and indocyanine angiogram, showing serous macular detachment.
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F2
Fluorescein angiography (FA) and an indocyanine green angiogram excluded other causes of serous retinal pigment epithelium detachment, showing pooling in the area of serous macular detachment and no leakage from the pit even at the late stage (fig. 2).
a, b Infrared photograph and OCT, showing resolution of macular detachment. c, d Infrared photograph and OCT, showing the closure of the optic disc pit.
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F3
Interestingly enough, 3 years after initial presentation, neither macular schisis nor subretinal fluid were evident on OCT (fig. 3), and her visual acuity was significantly improved from 6/24 to 6/12 in the left eye, which remained stable at the 6-month follow-up after resolution of macular detachment.