Peripapillary disciform lesions in the elderly

Abstract

We present seven consecutive cases of peripapillary disciform lesions (PPDL) managed over a period of four and a half years. All patients were elderly, with a median age of 74 years. A protocol was used for the management of these patients. Four underwent ablative laser treatment when the lesion demonstrated growth and was sight threatening. The final visual acuity in this treated group improved by one line in one patient, was reduced by one line in two and was unchanged in the other. No recurrent lesions were seen beyond three months after treatment. The lesions in the remaining three patients were non-progressive and required no treatment. Of these, the final visual acuity remained unchanged in two patients and was reduced by one line in the other.