case_images: PMC8165556_01
case_images: Optical coherence tomography imaging of the patient's right eye on initial presentation, demonstrating (A) an inferotemporal optic nerve pit with retinoschisis, intraretinal fluid, subretinal fluid, and (B) significant macular schisis.
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case_images: PMC8165556_01_IMCRJ-14-357-g0001.jpg
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case_images: Optical coherence tomography (OCT) imaging of the right eye revealed the presence of macular schisis associated with significant IRF (Figure 1).
case_images: Optical coherence tomography macular change analysis showing structural evolution of the macula (A) at initial presentation, (B) 2 months post-operatively with persistence of macular schisis, (C) 10 months post-operatively with reduction of the intraretinal fluid following adjunctive use of oral spironolactone and topical dorzolamide and (D) 2 years post-operatively with almost complete resolution of the intraretinal fluid following long-term spironolactone use.
case_images: IMCRJ-14-357-g0002.jpg
case_images: PMC8165556_01_IMCRJ-14-357-g0002.jpg
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case_images: OCT demonstrated a significant reduction in IRF. Oral spironolactone was pursued and at the latest follow-up 2 years post-operative, there was further improvement of the OCT as well as VA to 20/30 (Figure 2).