Evaluation of Congenital Optic Disc Pits and Optic Disc Colobomas by Swept-Source Optical Coherence Tomography

Ohno‐Matsui, Kyoko; Hirakata, Akito; Inoue, Makoto; Akïba, Masahiro; Ishibashi, Tatsuro

doi:10.1167/iovs.13-12901

Cited by 99 publications

(82 citation statements)

References 37 publications

(36 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The authors reported a defect in the lamina cribrosa at the site of the pit with herniation of nerve tissue into the pit. However, there was no description of the absence of the Space of Martegini, the attachment of vitreous fibres to the optic nerve head nor the presence of fibrouslooking tissue attached to the optic pit, as in our case [11].…”

Section: Discussioncontrasting

confidence: 62%

Pars Plana Vitrectomy with Air Tamponade for Optic Disc Pit Maculopathy: Swept-source Optical Coherence Tomography Imaging Findings and Surgical Approach: A Clinical Case

IC¹

2015

J Clin Exp Ophthalmol

View full text Add to dashboard Cite

Purpose: To describe how Swept Source Optical Coherence Tomography (SS-OCT) provides enhanced diagnostic information enabling optimisation of surgical strategy in a pediatric patient suffering from ODP maculopathy. We report the first case of successful management of ODP maculopathy via pars plana vitrectomy (PPV) and air tamponade. Methods: Interventional case report.Results: A five-year-old girl presented with ODP and serous macular detachment in her previously amblyopic left eye. SS-OCT showed optically opaque vitreous fibres perpendicularly attached to the base of the optic nerve head excavation and what appeared to be fibrous tissue at the base of the excavation of the optic nerve head and attached to the pit. Detachment of the posterior hyaloid was induced during PPV, the pre-optic nerve head fibrosis was removed with forceps and fluid/air exchange was carried out to induce air tamponade. The serous macular detachment had resolved 11 months after the surgery and the optic pit was reduced in size. No maculopathy recurrences or complications such as cataract were observed. Best corrected visual acuity did not improve possibly because of pre-existing amblyopia.Conclusion: SS-OCT demonstrated anatomical features not previously described in ODP maculopathy and could assist in the choice of surgical technique. In patients with ODP maculopathy and documented optic nerve head vitreous attachment with peri-pit fibrosis, vitrectomy supplemented by tamponade with air alone may be a viable alternative to tamponade with gas with or without laser photocoagulation. This modified technique may reduce the risk of complications such as cataract formation.

show abstract

Section: Discussioncontrasting

confidence: 62%

Pars Plana Vitrectomy with Air Tamponade for Optic Disc Pit Maculopathy: Swept-source Optical Coherence Tomography Imaging Findings and Surgical Approach: A Clinical Case

IC¹

2015

J Clin Exp Ophthalmol

View full text Add to dashboard Cite

show abstract

“…Imaging should be used in such doubtful cases for ascertaining correct diagnosis. SSOCT has the ability to provide high-resolution images at deeper tissue levels and is a good tool for imaging ODC with pit 2. A large SSOCT imaging series on congenital optic disc anomalies has shown optic disc pits to vary in shape.…”

Section: Descriptionmentioning

confidence: 99%

“…A large SSOCT imaging series on congenital optic disc anomalies has shown optic disc pits to vary in shape. They can be triangular or slit-like, whereas dehiscence of the lamina cribrosa is common 2. The pit may contain vitreous fibres and herniated retinal tissue and has been seen to be very close to the subarachnoid space in some cases 2.…”

Section: Descriptionmentioning

confidence: 99%

“…They can be triangular or slit-like, whereas dehiscence of the lamina cribrosa is common 2. The pit may contain vitreous fibres and herniated retinal tissue and has been seen to be very close to the subarachnoid space in some cases 2. ODC has been imaged to be a deeply excavated area within the optic nerve with some common features with optic disc pit 2.…”

Section: Descriptionmentioning

confidence: 99%

“…The pit may contain vitreous fibres and herniated retinal tissue and has been seen to be very close to the subarachnoid space in some cases 2. ODC has been imaged to be a deeply excavated area within the optic nerve with some common features with optic disc pit 2. Ultrasound has not been evaluated as a diagnostic tool in the perspective of an ODC and may be useful considering its larger availability.…”

Section: Descriptionmentioning

confidence: 99%

See 2 more Smart Citations

Optic disc coloboma with pit treated as glaucoma: diagnostic utility of ultrasound and swept source optical coherence tomography

et al. 2017

View full text Add to dashboard Cite

Congenital Optic Nerve Anomalies

Parsa

Cheeseman

2022

Albert and Jakobiec's Principles and Practice of Ophthalmology

View full text Add to dashboard Cite

Evaluation of Congenital Optic Disc Pits and Optic Disc Colobomas by Swept-Source Optical Coherence Tomography

Abstract: Swept-source OCT is able to detect different kinds of abnormalities including shape of cavities, defect of lamina cribrosa, or distance to SAS in the excavated optic discs anomalies.

Cited by 99 publications

References 37 publications

Pars Plana Vitrectomy with Air Tamponade for Optic Disc Pit Maculopathy: Swept-source Optical Coherence Tomography Imaging Findings and Surgical Approach: A Clinical Case

Pars Plana Vitrectomy with Air Tamponade for Optic Disc Pit Maculopathy: Swept-source Optical Coherence Tomography Imaging Findings and Surgical Approach: A Clinical Case

Optic disc coloboma with pit treated as glaucoma: diagnostic utility of ultrasound and swept source optical coherence tomography

Congenital Optic Nerve Anomalies

Contact Info

Product

Resources

About