Optic Disc Pit Maculopathy: A Review

Kalogeropoulos, Dimitrios; Ch'ng, Soon Wai; Lee, Rynn; Elaraoud, Ibrahim; Purohit, Maninee; Felicida, Vinaya; Mathew, M R K; Ajith-Kumar, Naduviledeth; Sharma, Ash; Mitra, Arijit

doi:10.22608/apo.2018473

Cited by 15 publications

(37 citation statements)

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“…However, since vitreous traction, specifically the vitreopapillary traction, 2,5,[16][17][18] has been suggested to play an important role in the pathogenesis of ODP-M, pars plana vitrectomy (PPV) with the induction of posterior vitreous detachment (PVD) remains the most widely accepted treatment of choice for this entity. [9][10][11][12][13][19][20][21][22] Tight vitreous attachment over the optic nerve has been reported in previous studies preoperatively by OCT and intraoperatively by iOCT in ODP-M patients. 16,17,23 Therefore, inducing a PVD by PPV can relieve the traction exerted by the vitreous on either the macula or the ODP, facilitating the absorption of subretinal fluid.…”

Section: Surgical Treatment Optionsmentioning

confidence: 71%

“…[2][3][4][5] Since patients with ODP may remain asymptomatic with normal visual acuity until 2nd to 4th decades of life [2][3][4][5] an individualized approach should be considered in each case assessing the visual symptoms with the clinical and imaging findings, but currently, in the presence of progression of fluid accumulation and/or visual loss, observation is deemed unjustified. 5,13…”

Section: Conservative Managementmentioning

confidence: 99%

“…[6][7][8] When ODP-M is present, visual acuity (VA) is usually affected to 20/70 or worse, 2,5,[9][10][11][12][13] but in the untreated and long-standing cases, which can be associated with cystoid changes, lamellar or full-thickness macular holes, and retinal pigment epithelium (RPE) atrophy, the visual impairment is usually irreversible, leading to a reduced VA to 20/200 or worse in the affected eye. 2,5,[9][10][11][12][13] Therefore, interventions are valuable, as they may prevent significant visual loss in these patients. However, despite the improved insight into this unusual pathology, currently, there is no consensus regarding its optimal treatment.…”

Section: Introductionmentioning

confidence: 99%

“…Maybe because the nature and the origin of the fluid causing the macular detachment are still controversial with no known triggers. 2,5,[9][10][11][12][13] The purpose of this mini-review is to discuss the possible surgical treatments options and the postoperative outcomes data of this challenging entity.…”

Section: Introductionmentioning

confidence: 99%

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<p>Surgical Options for Optic Disc Pit Maculopathy: Perspectives and Controversies</p>

Pastor‐Idoate¹,

Fusté²,

García-Onrubia³

et al. 2020

OPTH

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Optic disc pit (ODP) is a rare congenital optic nerve head abnormality, which can be complicated by intraretinal and subretinal fluid at the macula (ODP-maculopathy) with progressive visual loss. The source of this fluid remains unclear and the most dominant hypotheses have pointed to vitreous cavity or cerebrospinal fluid. Although spontaneous resolution has been reported, the majority of untreated cases of ODP-maculopathy result in final visual acuity less than 20/200 or worse. A wide array of interventions, either individually or in combination with adjuvant treatments, have been tried with varying degrees of success. Recently, different surgical procedures to fill the ODP by self-sealing materials in combination with pars plana vitrectomy have been reported as an effective adjuvant treatment. However, given the relative rarity of this condition, the majority of reports describe a small retrospective case series, making it difficult to compare among different treatments options and create a consensus regarding the optimal treatment for ODP-maculopathy. In this situation, a mini-review about surgical treatment modalities and their results can be a useful approach to identify the most effective surgical option in the management of ODP-maculopathy.

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Section: Surgical Treatment Optionsmentioning

confidence: 71%

Section: Conservative Managementmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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<p>Surgical Options for Optic Disc Pit Maculopathy: Perspectives and Controversies</p>

Pastor‐Idoate¹,

Fusté²,

García-Onrubia³

et al. 2020

OPTH

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“…First described in the late 19th century by Wiethe, optic disc pits (ODPs) are anomalous cavitations of the optic nerve head [1]. Generally described as congenital, optic disc pit is a rare disorder, sporadic in occurrence with the reported prevalencevarying from 0.02% to 0.19%.…”

Section: Introductionmentioning

confidence: 99%

An Unusual Case of Pediatric Bilateral Congenital Optic Disc Pits With Unilateral High Myopia

Vaniyan¹,

Falamarzi²,

Shaikh³

2021

Cureus

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Optic disc pits are rare congenital abnormalities. They are unilateral in 85% of the affected individuals. Optic disc pits occurring in the highly myopic eyes of the older adults are supposed to be acquired due to mechanical expansion of the disc from the axial elongation. High myopia is also a well described association of the optic disc pits of the congenital nature.  We present a rare case of bilateral congenital optic disc pits in a 15-year-old girl having anisometropic unilateral axial myopia and the emmetropia in the fellow eye. This unique combination of the findings of unilateral high myopia in a child with bilateral congenital optic disc pits, to the best of our knowledge has not been described in the literature earlier. Our case demonstrates a scenario where two different causative factors for the optic disc pits may be present concurrently in the same instance.

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Optic Pit Maculopathy: Clinical Features and Management Options

Iyer

Flynn

Fan

et al. 2021

Curr Ophthalmol Rep

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Purpose of ReviewIn this article, we review the pathogenesis, clinical features, imaging modalities, and latest management options for optic pit maculopathy (OPM). Recent FindingsThe pathogenesis of OPM remains to be unclear, but imaging tools such as optical coherence tomography (OCT) and OCT angiography are enhancing our knowledge. Observation continues to be the best management strategy for patients with good visual acuity, and many cases have demonstrated spontaneous resolution. For more advanced, progressive vision loss, treatment options involving vitrectomy can be considered and discussed with the patient. Supplementary techniques to vitrectomy have been reported in small studies with relative success such as glial tissue peeling, inverted internal limiting membrane flap, optic pit plugging, and retinal fenestration. Summary While there are multiple treatment options available for OPM, there is no consensus on the technique and surgical timing. Individual patient factors and the risks-benefits of treatment must be taken into account in guiding management. Larger clinical trials will further assist in decision-making for treating OPM.

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Optic Disc Pit Maculopathy: A Review

Cited by 15 publications

References 0 publications

<p>Surgical Options for Optic Disc Pit Maculopathy: Perspectives and Controversies</p>

<p>Surgical Options for Optic Disc Pit Maculopathy: Perspectives and Controversies</p>

An Unusual Case of Pediatric Bilateral Congenital Optic Disc Pits With Unilateral High Myopia

Optic Pit Maculopathy: Clinical Features and Management Options

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