Optic disk pits and optic disk pit maculopathy: A review

Uzel, Mehmet Murat; Karaçorlu, Murat

doi:10.1016/j.survophthal.2019.02.006

Cited by 45 publications

(73 citation statements)

References 124 publications

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“…Among all theories explaining the pathogenesis of ODP-M [1, 3], we believe that the most accredited is that there is a vitreous traction around the ODP causing passive fluid migration into the intra- and subretinal spaces. To treat our patients affected by ODP-M, we followed the technique described Hirakata et al [10].…”

Section: Discussionmentioning

confidence: 99%

“…The exact origin of this liquid is still unknown. To date, there are four proposed theories about its origin: (1) vitreous fluid that enters the subretinal space through the optic pit, (2) cerebrospinal fluid which enters into the intra- and subretinal spaces from the subarachnoid space through the ODP defects, (3) fluid leakage from blood vessels at the ODP (but there are no angiographic findings), or (4) fluid from the choroid through Bruch’s membrane and peripapillary atrophy (unlikely) [1, 3]. In any case, the accumulation of fluid is a very debilitating complication.…”

Section: Introductionmentioning

confidence: 99%

“…However, laser treatment could itself be the source of significant visual field defects. Another treatment currently accepted for ODP-M is intravitreal gas injection, as pneumatic displacement improves visual acuity (VA) by reattachment of the macula [1, 3]. However, only a few reports have been published, with reattachment achieved in approximately half of the cases and sometimes with only a temporary effect due to recurrence [5-7].…”

Section: Introductionmentioning

confidence: 99%

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

Rapizzi

Gallon

Ponzin

et al. 2020

Case Rep Ophthalmol

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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.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

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

Rapizzi

Gallon

Ponzin

et al. 2020

Case Rep Ophthalmol

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“…1,2 Affected individuals are generally asymptomatic unless fluid accumulates in the macula resulting in severe vision loss. 3 The management of ODPs depends mostly on clinical findings and can range from observation to surgery. Optometrists need to be aware of the clinical presentations and possible complications of ODPs.…”

Section: Introductionmentioning

confidence: 99%

Optic Disc Pits: A Case Report and Review

Sterling¹

2020

OCP

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Background: Congenital optic disc pits (ODP) are a rare clinical finding affecting approximately 1 in 11,000 people. Affected individuals are generally asymptomatic unless fluid accumulates in the macula resulting in severe vision loss. The management of ODPs depends mostly on clinical findings and can range from observation to surgery. Optometrists need to be aware of clinical presentations and possible complications of ODPs. Case Report: This report will review a case of an asymptomatic optic disc pit and discuss the potential treatment options if complications arise. Conclusion: Although rare, congenital optic disc pits need to be accurately assessed and diagnosed. Symptoms can range from none to severe vision loss. Proper observation and management may lead to improved visual outcomes.

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“…[1][2][3] ODP can be associated with serous retinal detachments at the macula (ODP-M) in 25% to 75% of cases, causing a significant visual loss at 20/200 or worse. 4,5 Its clinical features include intraretinal and subretinal fluid accumulation, retinoschisis, and retinal pigment changes. 4 The clinical use of high-resolution optical coherence tomography (OCT) has enabled us to examine the fine retinal structure in ODP/ODP-M.…”

mentioning

confidence: 99%

Newly Onset Optic Disc Pit Maculopathy (ODP-M) in a Patient With Primary Angle-closure Glaucoma (PACG) After Surgical Iridectomy: A Case Report

Cheng

Guo²,

Yang³

et al. 2020

Journal of Glaucoma

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Optic disc pit maculopathy (ODP-M) is a subtype of ODP, characterized by a serous retinal detachment and/or macular retinoschisis. Currently, ODP and ODP-M pathogenesis remain unknown although many hypotheses exist about their clinical features. In this study, we report a case of new ODP-M detected after surgical iridectomy in a patient with primary angle-closure glaucoma (PACG) with a preoperative normal retina and optic nerve. Fine optic disc and the macular area structures were investigated using several imaging techniques. Findings revealed that the course of ODP and ODP-M provide us with some insights and understanding of their underlying pathogenesis.

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Optic disk pits and optic disk pit maculopathy: A review

Cited by 45 publications

References 124 publications

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

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

Optic Disc Pits: A Case Report and Review

Newly Onset Optic Disc Pit Maculopathy (ODP-M) in a Patient With Primary Angle-closure Glaucoma (PACG) After Surgical Iridectomy: A Case Report

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