Combined treatment for optic disc pit maculopathy secondary to glaucoma

Ledesma, B.; García, P. Bueno; Pereda, Juan Pedro Torres

doi:10.1016/j.oftale.2020.11.013

Cited by 2 publications

(6 citation statements)

References 9 publications

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“…Based on these principles, Ledesma et al were able to achieve a successful resolution of macular detachment after one year following an ExPress drainage device implantation and pars plana vitrectomy for an acquired optic disc pit related maculopathy. 8 In our case, the optic disc pit was occult, and not seen on clinical examination. Even the OCT at the optic disc did not show any obvious vitreo-papillary traction.…”

Section: Discussionmentioning

confidence: 43%

“…7 In a case of glaucoma related optic disc pit maculopathy, Ledesma et al reported successful resolution of maculopathy following treatment with combined glaucoma surgery and pars plana vitrectomy with juxta papillary endolaser photocoagulation. 8 In this report, we present a case of acquired optic disc pit secondary to primary open angle glaucoma (POAG) that was successfully treated with glaucoma filtering surgery alone, resulting in intraocular pressure control and complete resolution of serous macular detachment.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Successful resolution of serous macular detachment following glaucoma-filtering surgery alone for acquired optic disc pit maculopathy

Venkatesh,

Shroff,

Kathare

et al. 2024

European Journal of Ophthalmology

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Purpose To describe a case of acquired glaucomatous optic disc pit-related maculopathy successfully treated with glaucoma filtering surgery alone. Case description A 67-year-old male was diagnosed with advanced primary open angle glaucoma in both eyes, with a cup: disc ratio of 0.85 in the right eye and 0.95 in the left eye. Visual acuity at presentation was 20/60, and intraocular pressure was 14 mm Hg in the left eye. The fundus of the left eye revealed a serous macular retinal detachment due to an acquired optic disc pit. Results The left eye of the patient underwent combined cataract and glaucoma filtering surgery. The serous macular detachment resolved completely 15 months after surgery, with a documented visual acuity of 20/40 and intraocular pressure of 10 mm Hg without the use of additional antiglaucoma medications. There was no recurrence of serous macular detachment even after the two-year follow-up visit. Conclusion This case demonstrates that controlling intraocular pressure alone resulted in complete resolution of serous macular detachment in acquired optic disc pit maculopathy without the need for pars plana vitrectomy.

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Section: Discussionmentioning

confidence: 43%

Section: Introductionmentioning

confidence: 99%

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Successful resolution of serous macular detachment following glaucoma-filtering surgery alone for acquired optic disc pit maculopathy

Venkatesh,

Shroff,

Kathare

et al. 2024

European Journal of Ophthalmology

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“…23,24 Thus, in contrast to the congenital ODPM, the primary treatment objective for an eye with glaucomatous ODPM would be to primarily prevent the intraocular pressure fluctuations. 10,12,25 In this study, we observed one eye in which maculopathy signs resolved completely following trabeculectomy surgery alone. The demographic, clinical, and OCT characteristics of congenital and acquired ODPM may serve as a guide when considering intervention in such cases, giving the current study clinical significance.…”

Section: Discussionmentioning

confidence: 66%

“…2 In a case of glaucoma related ODPM, Ledesma et al reported successful resolution of maculopathy following treatment with combined glaucoma surgery and pars plana vitrectomy with juxta papillary endolaser photocoagulation. 10 In an eye with acquired glaucomatous ODP, the pit is usually more centrally located and the optic disc margin remains uncompromised, as opposed to an eye with congenital ODP, where the pit is clearly visible clinically, usually temporally located, and the optic disc margin get affected. [11][12][13] Due to the anatomical differences between these two entities, it is possible that the maculopathy resulting from an acquired or congenital ODP may not follow the same pattern of development and may not have the same clinical and functional outcomes.…”

Section: Introductionmentioning

confidence: 99%

Congenital versus acquired optic disc pit maculopathy: An OCT based study

Prabhu,

Venkatesh,

Kathare

et al. 2023

European Journal of Ophthalmology

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Purpose The purpose of this study is to describe and compare the demographic, ocular, and imaging characteristics of a cohort of patients with congenital and acquired optic disc pit maculopathy (ODPM). Methods This retrospective case series included patients diagnosed with ODPM between June 2017 and April 2023. These patients’ baseline demographics, ocular characteristics, and optical coherence tomography (OCT) imaging characteristics and follow up changes were analyzed. Results A total of 14 eyes with ODPM were identified (9 congenital and 5 acquired). Eyes with congenital ODP developed maculopathy at a younger age, presented commonly with visual symptoms, and exhibited an obvious pit at the temporal foveal margin as well as a high cup: disc ratio ( p < 0.05). Primary open-angle glaucoma was identified in all five eyes with acquired ODPM. On OCT, eyes with acquired ODPM lacked the characteristic nerve fibre layer schisis, outer retinal layer hole, and foveal serous macular detachment ( p < 0.05) unlike congenital ODPM. At the final follow-up visit, two cases from the congenital ODPM group and one case from the acquired ODPM group displayed complete resolution of maculopathy. The two cases of congenital ODPM were treated with pars plana vitrectomy and laser barrage to the optic disc margin, while the solitary case of acquired ODPM was treated with trabeculectomy surgery alone. Conclusion Clinical examination and baseline OCT imaging reveal distinct differences between congenital and acquired ODPM eyes. These characteristics may help with accurate diagnosis and treatment planning for these two distinct clinical entities.

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Combined treatment for optic disc pit maculopathy secondary to glaucoma

Cited by 2 publications

References 9 publications

Successful resolution of serous macular detachment following glaucoma-filtering surgery alone for acquired optic disc pit maculopathy

Successful resolution of serous macular detachment following glaucoma-filtering surgery alone for acquired optic disc pit maculopathy

Congenital versus acquired optic disc pit maculopathy: An OCT based study

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