Improvement of Maculopathy Associated with Cavitary Optic Disc Anomalies Treated with Topical Anti-glaucoma Medications.

PURPOSE: To report our findings in two cases of maculopathy associated with cavitary optic disc anomalies (CODAs) that were treated successfully with topical anti-glaucoma medications.

METHODS

Two cases of maculopathy with CODAs were treated with topical anti-glaucoma medications. The ophthalmoscopic and optical coherence tomographic images were recorded before and after beginning the anti-glaucoma medications.

RESULTS

Both cases were young women who had a worsening of their visual acuity due to a serous retinal detachment. One woman had an optic disc pit maculopathy, and the other had a large optic disc with an atypical disc coloboma. After treatment with topical anti-glaucoma medications, the subretinal fluid was resolved in both cases and the visual acuity was improved.

CONCLUSION

The improvement of the maculopathy associated with CODAs was observed after the initiation of topical anti-glaucoma eye drops. Although a spontaneous resolution cannot be excluded, these findings suggest that the decrease of intraocular pressure with anti-glaucoma eye drops may be helpful in improving the retinopathy during the follow-up period in selective cases of CODAs.