PAPILLOMACULAR FOLD OBSERVED IN PEOPLE WITH POSTERIOR MICROPHTHALMOS SYNDROME

Abstract

The article presents the author’s clinical observation of a rare ophthalmologic pathology — a papillomacular fold anomaly associated with posterior microphthalmos. It discusses relevant literature and the characteristic features of this condition. The article provides information on a 15-year-old female patient diagnosed with a papillomacular fold and posterior microphthalmos, a statistically rare pathology. The patient presented with complaints of visual impairment. During a routine ophthalmologic examination, papillomacular folding and retinal edema were detected. It is recommended to carefully differentiate this type of retinal edema from cystoid macular edema (CME). For accurate differentiation, in addition to standard ophthalmologic examinations, ophthalmic ultrasonography, corneal topography, and optical coherence tomography (OCT) were performed. Based on the examination results, the absence of cystoid macular edema was confirmed. Accurate differentiation is essential for selecting the appropriate treatment method and preventing the unnecessary use of intravitreal injections typically administered for CME in this pathology. Intravitreal anti-VEGF agents used in the management of papillomacular folds not only fail to provide therapeutic benefit but may also lead to retinal atrophy.