Extent and Location of Intraretinal and Subretinal Fluid as Prognostic Factors for the Outcome of Patients With Optic Disk Pit Maculopathy

Abstract

Fundoscopic and OCT features can help predict surgical outcome in optic disk pit maculopathy.

Multicenter study of pars plana vitrectomy for optic disc pit maculopathy: MACPIT study

“…Visual and anatomical progress over the follow-up period consistent with our study suggested that ILM peeling is probably not essential in the treatment of most cases of ODP-M. [9][10][11][12][13][14] Intraoperative gas is also believed to displace the retinal and subretinal fluid away from the macula. 19,20 A recent study has suggested that resolution of ODP maculopathy may be faster in patients with gas tamponade.…”

“…12 Recent studies have generally reported no additional benefit from the laser in long-term success rates. [13][14][15][16] Our study also suggest that JLP may not be necessary for success of PPV for at least our follow-up period.…”

“…There are currently no guidelines for the treatment of ODP-M, and no consensus on the optimal surgical technique. [6][7][8][9][10][11][12][13][14] Although the best functional outcomes seem to be obtained with vitrectomy, controversy continues on the rationale for the adjunctive steps taken with vitrectomy. In our study, which reports largest series to date, we observed that PPV and gas tamponade with or without JLP and ILM peeling is effective for ODP-M in majority of the cases.…”

“…Our results related to gas tamponade is consistent with the recently published reports. [11][12][13][14]21 Triamcinolone-assisted vitrectomy, as a surgical technique has been emphasized previously for the surgical treatment of ODP-M. 12,15 As posterior vitreous traction on the margin of the optic disc has been suggested to be responsible for the development of maculopathy in eyes with ODP, complete removal of the posterior hyaloid without residues attached to ILM may be important for surgical success. 22,23 Thus, intraoperative TA can ensure to achieve this goal.…”

“…The complete macular reattachment rate within the follow-up period of the current study was 86.3%, which is similar to previously reported case series. [6][7][8][9][10][11][12][13][14][15][16][17][18] A delay in complete reabsorption of macular fluid beyond 12 months has been described in literature. 6,[10][11][12][13][14] In the current series, 13 eyes showed complete resolution at 12 months or longer, and 4 eyes at month 18 and thereafter.…”