scholarly journals Vitrectomy for optic disc pit-associated maculopathy with or without preoperative posterior vitreous detachment

2012 ◽  
pp. 1361 ◽  
Author(s):  
Masatoshi Haruta ◽  
Rika Kamada ◽  
Yumi Umeno ◽  
Yamakawa
Keyword(s):  
Optic Disc ◽  
Posterior Vitreous Detachment ◽  
Optic Disc Pit ◽  
Vitreous Detachment

Resolution of Optic Disc Pit Maculopathy Following Posterior Vitreous Detachment

2021 ◽  
pp. 247412642110467
Author(s):  
Ali H. Mannaa ◽  
Reda A. Issa ◽  
J. Shepard Bryan
Keyword(s):  
Optic Disc ◽  
Posterior Vitreous Detachment ◽  
Interesting Case ◽  
Optic Disc Pit ◽  
Review Of The Literature ◽  
Fluid Accumulation ◽  
Optic Pit ◽  
Vitreous Detachment ◽  
Spontaneous Improvement ◽  
Optic Disc Pit Maculopathy

Purpose: This work presents a case of significant improvement of optic pit disc maculopathy following an acute posterior vitreous detachment (PVD) and discusses the possible mechanisms of this phenomenon. Methods: A case report and review of the literature are presented. Results: A 56-year-old man presenting with progressive visual decline in his left eye was found to have an optic disc pit with optical coherence tomography (OCT) evidence of severe intraretinal edema and maculoschisis. His visual acuity and macular anatomy on OCT improved dramatically in the months following a PVD. Conclusions: This report presents an interesting case of spontaneous improvement of optic disc pit–related maculopathy following PVD. We discuss the cause of the retinal fluid accumulation in optic disc pit maculopathy and consider that the OCT findings in our case lend credence to the theory that this fluid originates from the vitreous humor.

scholarly journals Macular Structure Recovery after Surgery for Optic Disc Pit Maculopathy

2019 ◽  
Vol 10 (3) ◽  
pp. 408-414
Author(s):  
Yuri Nishiyama ◽  
Yuji Yoshikawa ◽  
Masayuki Shibuya ◽  
Junji Kanno ◽  
Kimitake Ozaki ◽  
...  
Keyword(s):  
Optic Disc ◽  
Outer Layer ◽  
Sulfur Hexafluoride ◽  
Structural Changes ◽  
Present Report ◽  
Serous Retinal Detachment ◽  
Posterior Vitreous Detachment ◽  
Recovery Process ◽  
Optic Disc Pit ◽  
Optic Disc Pit Maculopathy

The present report aimed to describe the macular structure’s recovery process in a case of optic disc pit maculopathy (ODP-M) with outer layer hole following pars plana vitrectomy (PPV) with juxtapapillary laser treatment (JPL). We performed repeated optical coherence tomography (OCT) examinations to evaluate the macular structural changes. An 80-year-old man presented with distorted vision and decreased visual acuity (VA) in his left eye, experienced for 1 year, prior to presentation. Fundus examination and OCT showed intraretinal fluid (IRF) in the inner and outer retinal layers. Serous retinal detachment (SRD) with an outer layer hole in the macula was also evident. The IRF was connected to the optic disc; however, the SRD was isolated. Best-corrected VA was 20/100. PPV combined with JPL was performed. Posterior vitreous detachment creation and tamponade with sulfur hexafluoride was performed. Postoperatively, the inner retinal IRF at the fovea disappeared. The outer layer hole gradually closed and had completely disappeared 1 month postoperatively. After resolution of the outer layer hole, SRD reduced gradually and disappeared 8 months postoperatively, although the macular outer retinal IRF remained. The outer retinal IRF had partially resolved by the 18th postoperative month. Macular structure was completely recovered 31 months postoperatively, with an improved VA of 20/20. In conclusion, SRD might be associated with outer retinal IRF and outer layer holes. In cases of ODP-M, outer layer holes might induce optic disc-isolated SRD.

scholarly journals A Conservative Surgical Approach to the Treatment of Optic Disc Pit Maculopathy: Four Case Reports

2020 ◽  
Vol 11 (2) ◽  
pp. 196-204
Author(s):  
Emilio Rapizzi ◽  
Paola Gallon ◽  
Diego Ponzin ◽  
Stefano Ferrari ◽  
Nicola Zemella
Keyword(s):  
Optic Disc ◽  
Case Reports ◽  
Posterior Vitreous Detachment ◽  
Subretinal Fluid ◽  
Internal Limiting Membrane ◽  
Conservative Approach ◽  
Optic Disc Pit ◽  
Surgical Interventions ◽  
Optic Disc Pit Maculopathy ◽  
Intravitreal Gas

The purpose of this report is to present the outcomes of surgical interventions in 4 patients with maculopathy associated with optic disc pit (ODP). We report 4 cases of patients affected by ODP maculopathy and treated by core vitrectomy with induction of posterior vitreous detachment and peeling of the internal limiting membrane restricted to the interpapillary macular zone without laser treatment and gas tamponade. The patients had rapid resolution of the multilayer inner retinoschisis-like separation and progressive slow reabsorption of the macular intraretinal and subretinal fluid up to complete retinal reattachment. Currently, there are still no widely accepted guidelines related to the best technique in the management of the maculopathy associated with ODP. We used a conservative approach, without the adoption of intravitreal gas injection or laser.

scholarly journals Inverted ILM flap technique in Optic Disc Pit Maculopathy: An Iranian experience with review of the literature

2021 ◽  
Author(s):  
Ali Tavallali ◽  
Yasaman Sadeghi ◽  
Seyed-Hossein Abtahi ◽  
Hosein Nouri ◽  
Mitra Rezaei ◽  
...  
Keyword(s):  
Optic Disc ◽  
Posterior Vitreous Detachment ◽  
Surgical Techniques ◽  
Case Series ◽  
Internal Limiting Membrane ◽  
Optic Disc Pit ◽  
Review Of The Literature ◽  
Pars Plana ◽  
Optic Disc Pit Maculopathy ◽  
Prospective Case Series

Abstract Purpose To present the outcome of optic disc pit maculopathy (ODPM) managed successfully with inverted internal limiting membrane (ILM) flap over the optic disc. Methods This prospective case series included three patients with ODPM who underwent pars plana vitrectomy with posterior vitreous detachment induction, followed by inverted ILM flap over the optic disc and gas tamponade. Patients were followed for 7-16 weeks as regards their functional and anatomical findings. A narrative review is also provided about Pathology, Pathogenesis, and surgical techniques in the treatment of ODPM Results Three adult patients (25–39 years old) were evaluated, with a mean duration of decreased visual acuity of 7.33 ± 2.40 months (4-12 months). Postoperatively, BCVA improved dramatically in one patient from 2/200 to 20/25. BCVA in the other two improved two and three lines, to 20/50 and 20/30, respectively. Significant anatomic improvement was achieved in all patients. Conclusion Vitrectomy with inverted ILM flap insertion over the optic disc can yield favorable anatomical improvement in patients with ODPM.

scholarly journals Incomplete posterior vitreous detachment despite vitrectomy with silicone oil tamponade

2021 ◽  
Vol 4 ◽  
pp. 1
Author(s):  
Sunny Chi Lik Au ◽  
Callie Ka Li Ko
Keyword(s):  
Optic Disc ◽  
Silicone Oil ◽  
Posterior Vitreous Detachment ◽  
Posterior Segment ◽  
Oil Droplets ◽  
Vitreous Detachment ◽  
Fundamental Step ◽  
Silicone Oil Tamponade

The fundamental step of a successful vitrectomy is posterior vitreous detachment induction; however, incomplete induction sometimes occurs. It may not be well seen barely by ophthalmoscopy examination, but emulsified silicone oil droplets act as the agent highlighting out the two natural retro-hyaloid spaces. The emulsified silicone oil droplets float according to gravity, but were entrapped over the pre-optic disc and the pre-macular bursa, giving the funny double inverse hypopyon-like pattern over the posterior segment.

Standard 6-mm Compared with Widefield 16.5-mm OCT for Staging of Posterior Vitreous Detachment

2020 ◽  
Vol 4 (11) ◽  
pp. 1093-1102 ◽  
Author(s):  
Jessica A. Kraker ◽  
Judy E. Kim ◽  
Elizabeth C. Koller ◽  
Joshua C. George ◽  
Eileen S. Hwang
Keyword(s):  
Posterior Vitreous Detachment ◽  
Vitreous Detachment
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