Plug the pit: a surgical technique for optic disc pit

Purpose: To report outcomes of pars plana vitrectomy (PPV) combined with internal limiting membrane (ILM) stuffing technique in patients with optic disc pit associated maculopathy (ODP-M). Methods: Data including best-corrected visual acuity (BCVA), central macular thickness (CMT), foveal center point thickness (FCP), and maximum height of fluid (max_fluid) (intraretinal or subretinal) were collected from the medical records of the patients. Results: Six eyes of six patients with a mean age of 28.0 ± 17.68 years (range: 9–53 year) underwent PPV + ILM plug surgery. The mean follow-up duration was 25.62 ± 26.11 months (range: 11.80–78.00 month) duration. The mean BCVA increased from 1.25 ± 1.04 logMAR (20/355, Snellen equivalent) to 0.86 ± 1.09 logMAR (20/144, Snellen equivalent) at last follow-up ( p = 0.043). Compared to baseline, CMT, FCP, and max_fluid significantly decreased at all visits after the surgery ( p < 0.05 for all visits). At last follow-up, 66.6% of the eyes (four eyes) showed complete resolution of fluid at a mean of 5.25 ± 4.99 months (range: 1–12 months) after the surgery. Conclusion: PPV with ILM plug seemed to be an effective surgical technique in ODP-M. Studies with longer follow-up and higher number of patients are needed to confirm our results.

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The inner diameter of the optic disc pit decreases with pars plana vitrectomy

International Ophthalmology ◽

10.1007/s10792-012-9656-8 ◽

2012 ◽

Vol 33 (2) ◽

pp. 199-201 ◽

Cited By ~ 4

Author(s):

Eylem Yaman Pinarci ◽

Humeyra Karacal ◽

Banu Oncel ◽

Sezin Akca Bayar ◽

Muharrem Karakaya

Keyword(s):

Optic Disc ◽

Pars Plana Vitrectomy ◽

Optic Disc Pit ◽

Pars Plana ◽

Inner Diameter

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Resolution of Optic Disc Pit Maculopathy Following Posterior Vitreous Detachment

Journal of VitreoRetinal Diseases ◽

10.1177/24741264211046766 ◽

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.

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