Clinical and multifocal-electroretinographic findings of congenital tilted disc syndrome associated with choroidal neovascularization: a case report

Authors: Moschos, Marilita; Margetis, Ioannis; Papadimitriou, Spyridon; Tzeni, Zoi; Moschos, Mihail

Source: Documenta Ophthalmologica, Volume 115, Number 2, September 2007 , pp. 121-124(4)

Publisher: Springer

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Abstract:

Purpose To report a case of a tilted disc syndrome associated with choroidal neovascularization. Methods A 55-year-old male patient presented with blurred vision and metamorphopsia of the left eye. He underwent complete ophthalmologic examination, fluorescein angiography, optical coherence tomography (OCT) and multifocal-electroretinogram (mf-ERG). Results All features are consistent with a tilted disc syndrome complicated with a small neovascular membrane. OCT confirmed the presence of a serous retinal detachment. Mf-ERG confirmed a decrease of electrical activity of the photoreceptors in area 1 (fovea). The patient refused to be treated. Conclusion Macular serous retinal detachment due to subretinal leakage is a rare complication of tilted disc syndrome. To the author's knowledge, this is the first time a tilted disc syndrome with choroidal neovascularization is documented by means of OCT and mf-ERG. These are the only objective tools in order to assess objectively the anatomical and functional damage accordingly.

Keywords: Choroidal neovascularization; Multifocal-electroretinogram; Titled disc syndrome

Document Type: Research article

DOI: http://dx.doi.org/10.1007/s10633-007-9067-8

Affiliations: 1: Email: moschosmarilita@yahoo.fr

Publication date: 2007-09-01