Dr. ABHIDNYA SURVE

Dr. VINOD KUMAR, Dr.Shorya Vardhan Azad

Abstract

Purpose: To describe the macular changes associated with tilted disc syndrome (TDS) using multimodality imaging.

Methods: The consecutive TDS cases were studied for macular changes using color fundus photographs, red-free imaging, short-wave autofluorescence, fundus fluorescein angiography, and optical coherence tomography (OCT).

Results: Twenty consecutive cases of TDS (36 eyes) were studied. Macular involvement was seen in 13 eyes while in the remaining 23 eyes, outer retinal changes were seen in 9 eyes and normal layers in 14 cases. The various macular pathologies seen with TDS included lamellar macular hole, full-thickness macular hole, retinal pigment epithelial detachment, acute and resolved subretinal fluid, central serous chorioretinopathy and choroidal neovascular membrane.

Conclusion: Macular involvement is seen in a significant proportion of cases with TDS and thus the need to be aware of this entity. It also provides an insight into the underlying etiopathogenesis

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