PMC8165556_01
Optical coherence tomography imaging of the patient's right eye on initial presentation, demonstrating (A) an inferotemporal optic nerve pit with retinoschisis, intraretinal fluid, subretinal fluid, and (B) significant macular schisis.
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Optical coherence tomography (OCT) imaging of the right eye revealed the presence of macular schisis associated with significant IRF (Figure 1).
Optical coherence tomography macular change analysis showing structural evolution of the macula (A) at initial presentation, (B) 2 months post-operatively with persistence of macular schisis, (C) 10 months post-operatively with reduction of the intraretinal fluid following adjunctive use of oral spironolactone and topical dorzolamide and (D) 2 years post-operatively with almost complete resolution of the intraretinal fluid following long-term spironolactone use.
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OCT demonstrated a significant reduction in IRF. Oral spironolactone was pursued and at the latest follow-up 2 years post-operative, there was further improvement of the OCT as well as VA to 20/30 (Figure 2).