New insight into the pathology of macular detachment associated with an optic disc pit

Czajka, Marcin; Stopa, Marcin; Sosnowski, Piotr; Wasilewicz, Robert; Kocięcki, Jarosław

doi:10.1111/j.1755-3768.2009.01549.x

Cited by 3 publications

(1 citation statement)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…30 In our cases, the SRF was drained through the pit without the need for retinotomy, described in other reports. 31,32 Air/gas (14% C3F8) tamponade of the vitreous cavity together with facedown postoperative positioning is used to displace the macular SRF to the extramacular space and to stimulate the retinal pigment epithelium "pump," allowing for a quicker recovery. The procedures described in this work aimed apposition of the retinal layers through the release of traction and SRF drainage, creating a barrier to the fluid passage from the pit to the macular region.…”

Section: Discussionmentioning

confidence: 99%

Optic Pit

Travassos¹,

Regadas

Alfaiate

et al. 2013

Retina

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Optic Pit

Travassos¹,

Regadas

Alfaiate

et al. 2013

Retina

View full text Add to dashboard Cite

Comparative findings in childhood‐onset versus adult‐onset optic disc pit maculopathy

Rii

Hirakata

Inoue

2012

Acta Ophthalmologica

View full text Add to dashboard Cite

. Purpose: To compare the clinical characteristics of eyes with childhood‐onset to those with adult‐onset optic disc pit maculopathy. Methods: Twenty‐seven eyes of 25 patients with optic disc pit maculopathy were reviewed. The clinical characteristics, clinical history including a history of blunt trauma, ophthalmoscopic evaluations and intraoperative findings in the childhood‐onset (age <15 years, four eyes of four patients) cases were compared with those in the adult‐onset (≥15 years, 23 eyes of 21 patients) cases of optic disc pit maculopathy. The strength of the vitreous adhesions was graded by what was required to create a posterior vitreous detachment (PVD); grade 1 = with vitreous cutter, grade 2 = by microhook or forceps and grade 3 = by forceps with removal of remnants of Cloquet’s canal. Results: The incidence of visual impairments following blunt trauma was significantly higher in childhood‐onset (three of four eyes) than that of adult‐onset (0 of 23 eyes, p = 0.0014). Vitreous surgery with creation of a PVD was performed in the four childhood‐onset eyes and 18 adult‐onset eyes after an absence of a spontaneous resolution. The grade of the vitreous adhesions was significantly higher in childhood‐onset than in adult‐onset eyes (p = 0.0096). Conclusions: An ocular trauma may provide an opportunity to detect optic disc pits. However, childhood‐onset optic disc pit maculopathy was noted most commonly following blunt ocular trauma in eyes with a strong vitreous adhesion to the optic disc margin.

show abstract

Comparison of various surgical techniques for optic disc pit maculopathy: vitrectomy with internal limiting membrane (ILM) peeling alone versus inverted ILM flap ‘plug’ versus autologous scleral ‘plug’

2020

View full text Add to dashboard Cite

AimTo compare the anatomical and visual outcomes of vitrectomy with internal limiting membrane (ILM) peeling alone versus inverted ILM flap to plug the pit versus autologous scleral plug for the treatment of optic disc pit maculopathy (ODP-M).MethodsThis retrospective study included 23 patients (23 eyes) who underwent 25G pars plana vitrectomy, ILM peeling and gas tamponade. While the pit was not plugged in group 1 (n=8), inverted ILM flap and autologous scleral flap were used to plug the pit in group 2 (n=7) and group 3 (n=8), respectively. Complete anatomical success was defined as total resolution of subretinal fluid (SRF) and macular schisis on optical coherence tomography while visual success was defined as a gain of at least 2 Snellen lines 1 year after surgery.ResultsBaseline characteristics were similar in all three groups. Mean central foveal thickness and SRF decreased in all three groups (p<0.05). Complete anatomical success was achieved in 25.0%, 85.7% and 87.5% eyes while visual success was achieved in 12.5%, 28.6% and 12.5% eyes in groups 1, 2 and 3, respectively. One eye (4.3%) in group 2 developed full-thickness macular hole at 1 month post-surgery. After complete resolution, there was no recurrence of fluid.ConclusionOPD-M has a better surgical outcome if the pit is plugged. Both inverted ILM flap and autologous scleral plug are equally efficacious adjuncts to plug the pit.

show abstract

New insight into the pathology of macular detachment associated with an optic disc pit

Cited by 3 publications

References 5 publications

Optic Pit

Optic Pit

Comparative findings in childhood‐onset versus adult‐onset optic disc pit maculopathy

Comparison of various surgical techniques for optic disc pit maculopathy: vitrectomy with internal limiting membrane (ILM) peeling alone versus inverted ILM flap ‘plug’ versus autologous scleral ‘plug’

Contact Info

Product

Resources

About