Pars plana vitrectomy with juxtapapillary laser photocoagulation versus vitrectomy without juxtapapillary laser photocoagulation for the treatment of optic disc pit maculopathy: the results of the KKESH International Collaborative Retina Study Group

Abstract

PPV with JLP for optic disc pit maculopathy had similar functional and anatomic outcomes compared with vitrectomy without JLP.

Efficacy of Internal Limiting Membrane Flap Techniques with Vitrectomy for Macular Detachment Associated with an Optic Disc Pit

“…Improvement of vision was achieved in 89% of our cases, with a mean visual gain of almost 3 lines on the Snellen chart at the end of the follow-up time, and 67% had a final BCVA of 0.5 or better. This compares favourably with other functional results [10-14, 19, 22, 25-31]. Similar functional outcomes have been reported by D’Souza et al [16] and Nawrocki et al [17] using the same surgical procedure.…”

“…Our results suggest that laser treatment does not aid in anatomical success. This is in keeping with previous studies that have shown similar anatomical outcomes with PPV without juxtapapillary laser photocoagulation for ODP [13, 19-22]. …”

“…Also, of the patients with attached macula, 80% required more than 180 days for reattachment to occur. This is in keeping with previous studies that showed that improvement of vision is related to restoration of the normal retinal morphology [10-14, 19, 21, 22, 25-31]. This becomes progressively more evident 6–12 months postoperatively, as submacular fluid is slow to resolve (Table 3).…”

“…Surgical treatment seems to improve VA during the first 2 postoperative years, as foveal reattachment may take longer than 1 year [22, 33]. Improvement of vision was achieved in 89% of our cases, with a mean visual gain of almost 3 lines on the Snellen chart at the end of the follow-up time, and 67% had a final BCVA of 0.5 or better.…”

“…Even though several successful treatments have been reported (Table 3), there are still no established guidelines for the optimal surgical technique or for the treatment of ODP associated with maculopathy [8, 10, 11, 13]. Similarly, there is little consensus regarding which combination of adjuvant procedures to PPV maximizes surgical success while minimizing side effects and possible complications [10-22]. This is partly due to the lack of understanding of the pathophysiology of macular detachment and the possible sources of the fluid.…”