Surgical Management of Optic Disc Pit Associated Maculopathy

Ghosh, Yajati; Banerjee, Somnath; Konstantinidis, Aristeidis; Athanasiadis, Ioannis; Kirkby, G R; Tyagi, Ajai K

doi:10.1177/112067210801800126

Cited by 33 publications

(34 citation statements)

References 22 publications

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“…Differences in techniques result from the selection of adjuvant procedures such as short or long-acting gas tamponade, ILM peeling, endolaser photocoagulation in the peripapillary area and drainage of subretinal fluid. [27][28][29][30]33,[35][36][37][40][41][42][43][44][45][46][47] Hirakata et al 22 reported favourable results in 10 out of 11 patients treated with vitrectomy and gas exchange without endolaser photocoagulation. Hirakata et al 36 have also recently reported good surgical outcomes with vitrectomy but without laser treatment or gas tamponade for macular detachment with an optic disc pit.…”

Section: Discussionmentioning

confidence: 99%

Long-term outcomes of pars plana vitrectomy without internal limiting membrane peeling for optic disc pit maculopathy

Avcı

Yılmaz

İnan

et al. 2013

Eye

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Purpose To evaluate the results of surgical treatment of maculopathy secondary to congenital optic pit anomaly with pars plana vitrectomy (PPV), endolaser to the temporal edge of the optic disc and C3F8 tamponade without internal limiting membrane (ILM) peeling. Patients and methods Thirteen eyes of 12 patients with serous macular detachment and/or macular retinoschisis secondary to congenital optic disc pit (ODP) were included in the study. All eyes underwent PPV, posterior hyaloid removal, endolaser photocoagulation on the temporal margin of the optic disc and 12% C3F8 gas tamponade. Anatomic success and functional outcome determined retrospectively by optical coherence tomography and measurement of best corrected visual acuity (BCVA), respectively were the main outcome parameters. Results Two lines or more improvement in BCVA was obtained in 11 eyes and 6 of these eyes had 20/40 or better BCVA at the final visit. Subretinal or intraretinal fluid was completely resorbed postoperatively in 12 eyes but a little intraretinal fluid persisted in one eye at the 16-month follow-up. Better visual improvement was observed in patients treated by earlier surgical intervention. Conclusion PPV, C3F8 gas tamponade and endolaser to the optic disc margin without ILM peeling may yield favourable results in the treatment of ODP maculopathy.

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Section: Discussionmentioning

confidence: 99%

Long-term outcomes of pars plana vitrectomy without internal limiting membrane peeling for optic disc pit maculopathy

Avcı

Yılmaz

İnan

et al. 2013

Eye

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“…The previous case series concentrated mostly on the surgical procedure, the success rate and the improvement of BCVA after treatment [17][18][19]22]. The studies published thus far, however, have not reported changes in visual function in association with the postoperative foveal structure during the follow-up period.…”

Section: Discussionmentioning

confidence: 92%

“…Several case series report resolution of subretinal fluid and improvement in the BCVA after pars plana vitrectomy (PPV) [17][18][19][20][21][22], scleral buckle (SB) [23,24], or other surgical modalities [25]. It has to be mentioned that laser photocoagulation alone has also been used, with variable success [16].…”

Section: Introductionmentioning

confidence: 96%

Restoration of the photoreceptor layer and improvement of visual acuity in successfully treated optic disc pit maculopathy: a long follow-up study by optical coherence tomography

Theodossiadis

Grigoropoulos

Liarakos

et al. 2012

Graefes Arch Clin Exp Ophthalmol

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The IS/OS junction restoration cannot be detected immediately after fluid resolution in the majority of cases. It became evident 6-12 months later and was completed 24 months after fluid absorption. Improvement in BCVA was noticed only during the first 2 years of follow-up. No significant changes were noticed in BCVA or the IS/OS line after 2 years. Among the studied variables, the final photoreceptor layer condition and BCVA immediately after fluid absorption are the main factors predicting final BCVA after successful surgical treatment of ODP maculopathy.

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“…Several factors related to retinal detachment associated with congenital pit of the optic disc are noteworthy. First, good visual recovery is possible even months after the onset of maculopathy (19) , and serous macular retinal detachment responds well to early vitrectomy (20) . Macular detachments associated with pits of optic disc occur in young patients, who usually do not have significant vitreous liquefaction, which, in turn, makes less likely the hypothesis that the liquid comes from the vitreous (21) .…”

Section: Discussionmentioning

confidence: 99%

Surgical treatment of macular detachment secondary to congenital pit of the optic disc: case report

Maia

Soriano

Takahashi

et al. 2008

Arq. Bras. Oftalmol.

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Surgical Management of Optic Disc Pit Associated Maculopathy

Abstract: Serous retinopathy associated with optic disc pit responds well to early vitrectomy, endolaser, and internal tamponade. Silicone oil was effective in one refractory case. Cumulative data are required to define the management of this condition.

Cited by 33 publications

References 22 publications

Long-term outcomes of pars plana vitrectomy without internal limiting membrane peeling for optic disc pit maculopathy

Long-term outcomes of pars plana vitrectomy without internal limiting membrane peeling for optic disc pit maculopathy

Restoration of the photoreceptor layer and improvement of visual acuity in successfully treated optic disc pit maculopathy: a long follow-up study by optical coherence tomography

Surgical treatment of macular detachment secondary to congenital pit of the optic disc: case report

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