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


CONCLUSIONS
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.
Department of Ophthalmology, Athens University, 144, Kountouriotou Street, Piraeus, Athens, 18535, Greece. moschosmarilita@yahoo.fr
Marilita M
MM
Moschos
Ioannis
I
Margetis
Spyridon
S
Papadimitriou
Zoi
Z
Tzeni
Mihail
M
Moschos
D020256:Choroidal Neovascularization / Q000150:complications*; D004596:Electroretinography / Q000379:methods*; D005124:Eye Abnormalities / Q000150:complications / Q000175:diagnosis; D006801:Humans; D008297:Male; D008875:Middle Aged; D009898:Optic Disk / Q000002:abnormalities*; D010786:Photoreceptor Cells; D012160:Retina / Q000002:abnormalities* / Q000503:physiopathology; D012163:Retinal Detachment / Q000175:diagnosis / Q000209:etiology; D013577:Syndrome; D041623:Tomography, Optical Coherence