Vitrectomy in Serous Macular Detachment Associated with Optic Pit

2021 ◽  
pp. 350-355
Keyword(s):  
Optic Disc ◽  
Vision Loss ◽  
Subretinal Fluid ◽  
Treatment Modalities ◽  
Optic Disc Pit ◽  
Optic Pit ◽  
Optical Disc ◽  
Serous Macular Detachment ◽  
Csf Leakage ◽  
Pars Plana

Optic disc pit is a rare congenital anomaly of the optic disc and may be complicated by maculopathy with progressive vision loss. Optical disc pits are generally unilateral and sporadic, and the pathogenesis of maculopathy is not clear. Optical disc maculopathy (ODP-M) is a condition characterized by intraretinal, subretinal fluid, and retinal layers dissociation (retinoschisis). The origin of the subretinal fluid is controversial, and it is thought to be caused by liquefied vitreous, cerebrospinal fluid (CSF), leakage of the blood vessels in the base of the pit, and choroid. Although there is no consensus on its treatment, pars plana vitrectomy (PPV) alone or combined PPV, juxtapapillary laser photocoagulation, gas tamponade injection are the most frequently used methods in recent years. In this article, literature research was conducted on the possible mechanisms of the optic disc pit and the treatment modalities used.

scholarly journals Treatment outcomes of optic disc pit maculopathy over two decades

2021 ◽  
Vol 13 ◽  
pp. 251584142110277
Author(s):  
Avadhesh Oli ◽  
Divya Balakrishnan
Keyword(s):  
Optic Disc ◽  
Subretinal Fluid ◽  
Optic Disc Pit ◽  
Long Term Outcomes ◽  
Ilm Peeling ◽  
Pars Plana ◽  
Optic Disc Pit Maculopathy ◽  
The Mean

Aim: To study the long-term outcomes of optic disc pit maculopathy. Methods: Electronic medical records of 154 patients with optic disc pit were reviewed and 50 patients with optic disc pit maculopathy who met the study criteria were included in the study. Demographic profile of patients, along with clinical characteristics, optical coherence tomography (OCT) features and change in best-corrected visual acuity (BCVA) was recorded. Patients were treated either by observation, barrage laser alone or pars plana vitrectomy (PPV) with optional additional surgical procedures. The primary outcome measures were the change in BCVA and resolution of fluid on OCT. Results: The mean age of patients was 29.96 years (3–62 years) with a follow-up of 27.16 months. The mean baseline BCVA in observation, laser and vitrectomy group was log MAR 0.94, 0.76 and 0.87 and final BCVA was log MAR 0.9, 0.67 and 0.46, respectively. There was a statistically significant improvement in the final BCVA and reduction in subretinal fluid with resolution of the schisis cavity in vitrectomy group than in other groups. On regression analysis significant association was found between final BCVA with baseline BCVA ( R2 = 0.815, p = 0.002), use of C3 F8 endotempanode ( p = 0.004) ILM peeling ( p = 0.012) and use of triamcinolone (TA; p = 0.003). No significant association was found with juxtapapillary endolaser ( p = 0.062). Conclusions: In patients with disc pit maculopathy, PPV lead to better functional and anatomical outcomes as compared to laser or observation alone. Use of surgical adjuvants like ILM peeling, TA and C3F8 tamponade improved the outcomes, unlike juxtapapillary endolaser treatment.

scholarly journals Management of Recurrent Optic Disc Pit-Associated Maculopathy with Human Amniotic Membrane Graft in a Pediatric Case: A Case Report

2021 ◽  
pp. 734-739
Author(s):  
Aditya Kelkar ◽  
Jai Aditya Kelkar ◽  
Mounika Bolisetty ◽  
Ashwani Kanoriya
Keyword(s):  
Optic Disc ◽  
Amniotic Membrane ◽  
Subretinal Fluid ◽  
Internal Limiting Membrane ◽  
Human Amniotic Membrane ◽  
Optic Disc Pit ◽  
Primary Surgery ◽  
Ocular Coherence Tomography ◽  
Pars Plana

A 13 years old previously operated with 25-G pars plana vitrectomy with double internal limiting membrane peel and juxtapapillary endolaser with SF 6 gas tamponade for optic disc pit-associated maculopathy (ODP-M), presented with recurrence after 9 months of successful primary surgery. Three 25-G sclerotomies were made and Human Amniotic Membrane Graft was tucked into the optic disc pit (ODP), the position of the graft was confirmed with intraoperative ocular coherence tomography. Subretinal fluid rapidly resolved within 48 h and best-corrected visual acuity improved to 0.5 LogMAR after 1 week. During the follow-up period of 12 months, no episodes of recurrence or reduction vision or adverse reactions were noted.

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

2012 ◽  
Vol 33 (2) ◽  
pp. 199-201 ◽  
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

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.

Clinicopathologic Correlation of the Optic Pit Glial Plug in Optic Disc Pit Maculopathy

2018 ◽  
Vol 49 (12) ◽  
pp. e287-e291
Author(s):  
Nicolas A. Yannuzzi ◽  
Xiao Yi Zhou ◽  
Pedro Monsalve ◽  
Sander R. Dubovy ◽  
William E. Smiddy
Keyword(s):  
Optic Disc ◽  
Optic Disc Pit ◽  
Optic Pit ◽  
Clinicopathologic Correlation ◽  
Optic Disc Pit Maculopathy

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.

Long-Term Changes of Macular Thickness after Pars Plana Vitrectomy in Optic Disc Pit Maculopathy: A Spectral-Domain Optical Coherence Tomography Study

2015 ◽  
Vol 32 (3) ◽  
pp. 302-308 ◽  
Author(s):  
Irini Chatziralli ◽  
George Theodossiadis ◽  
Dimitrios Panagiotidis ◽  
Ioannis Emfietzoglou ◽  
Vlassis Grigoropoulos ◽  
...  
Keyword(s):  
Optical Coherence Tomography ◽  
Optic Disc ◽  
Pars Plana Vitrectomy ◽  
Spectral Domain ◽  
Optical Coherence ◽  
Optic Disc Pit ◽  
Long Term Changes ◽  
Pars Plana ◽  
Optic Disc Pit Maculopathy

scholarly journals Bilateral Optic Disc Pit with Maculopathy Case Report

2019 ◽  
Vol 75 (2) ◽  
pp. 86-90
Author(s):  
Veronika Radošová ◽  
Inka Krejčířová ◽  
Rudolf Autrata ◽  
Barbora Žajdlíková
Keyword(s):  
Optic Nerve ◽  
Optic Disc ◽  
Autosomal Dominant ◽  
Surgical Intervention ◽  
Asymptomatic Patient ◽  
Optic Disc Pit ◽  
Dominant Inheritance ◽  
Pars Plana ◽  
Therapeutic Possibilities ◽  
Autosomal Dominant Inheritance Pattern

An optic disc pit is a rare congenital anomaly of the optic nerve disc. It occurs rarely, and in case of its bilateral occurance, it can be caused by an autosomal dominant inheritance pattern. Ophthalmoscopically, the disc pit appears as an ovoid depression of the optic nerve disc. When identified unilaterally, the optic nerve disc is usually larger than the disc of the other healthy eye. Optic disc pits can be located anywhere in optic disc. Moreover, when located in the temporal margin, they can be accompanied by a maculopathy. The latest therapeutic possibilities include the retinal laser photocoagulation and pars plana vitrectomy, however the prognosis quoad visum neverthelles remains poor. This report deals with bilateral occurance of the optic disc pit in case of 9-year-old asymptomatic patient. The patient had been transferred to our ophthalmology department with suspected retinal detachment. Following the examination, the optic disc pit was diagnosed. The patient remains subject to further observation, however, owing to his current satisfactory vision without the need for a surgical intervention.

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