Retinopexia pneumática e fotocooagulação a laser para tratamento de descolamento secundário à fosseta de disco óptico: relato de caso

Rosa, Alexandre Antonio Marques; Primiano, Helio Paulo; Nakashima, Yoshitaka

doi:10.1590/s0004-27492006000100019

Cited by 8 publications

(7 citation statements)

References 18 publications

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“…Other proposed therapeutic modalities include intravitreal gas injection alone [49] and laser therapy in combination with gas injection [50]. Theodossiadis [41] proposed a novel technique that used macular buckling surgery as primary treatment for serous macular detachment.…”

Section: Treatment Of Odp-mmentioning

confidence: 99%

Optic disc pit: a review

Georgalas

Ladas

Georgopoulos

et al. 2011

Graefes Arch Clin Exp Ophthalmol

182

235

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Optic disc pits are a very rare clinical entity, affecting approximately one in 11,000 people. Patients with congenital optic disc pit sometimes remain asymptomatic, but 25% to 75% present with visual deterioration in their 30s or 40s after developing macular schisis and detachment. The most widely accepted treatment for such patients is a surgical approach involving pars plana vitrectomy with or without internal limiting membrane peeling, with or without endolaser photocoagulation and C3F8 endotamponade.

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Section: Treatment Of Odp-mmentioning

confidence: 99%

Optic disc pit: a review

Georgalas

Ladas

Georgopoulos

et al. 2011

Graefes Arch Clin Exp Ophthalmol

182

235

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“…Despite an initial visual acuity improvement, macular fluid recurrence was seen in two cases within 3 months and in the third case during the fifth year of follow-up (21) . In our patients, we used intravitreal C3F8 in addition to the laser, in a similar way to previously published studies (12,20,(22)(23)(24) . With proper positioning, the gas bubble exerts pressure on the inner retinal surface and induces passive subretinal fluid migration through the RPE and choroid.…”

Section: Discussionmentioning

confidence: 95%

“…There is no universally accepted effective therapy for ODP-associated macular detachment. Various treatments have been described, including intraocular gas injection only (11) , gas injection with laser photocoagulation along the temporal optic disc margin (12) , macular buckling (13) , pars plana vitrectomy with gas tamponade with or without laser, pars plana vitrectomy with internal limiting membrane peeling with or without a flap (14) , platelet-rich autologous serum infusion (14,15) , autologous scleral plug (16) , and partial inner retinal fenestration (17) .…”

Section: Introductionmentioning

confidence: 99%

Gas tamponade followed by laser treatment for macular retinal detachment secondary to optic pit

Chaves¹,

Costa²,

Bastos³

et al. 2023

ABO

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The study aimed to describe anatomic and visual outcomes associated with perfluoropropane intravitreal injection followed by laser treatment for macular retinal detachment secondary to optic disc pit. Methods: A single-center, retrospective study. Medical records of all patients treated at a tertiary retina referral center were evaluated between 2011 and 2018 for congenital optic disc pit-associated macular detachment with 0.3 ml 100% perfluoropropane intravitreal injection followed by retinal laser photocoagulation along the temporal optic disc margin as the initial treatment. Results: Six patients with optic disc pit-associated macular detachment were identified, with postoperative follow-up ranging from 13 to 52 months (mean: 28 months). Spectral domain optical coherence tomography (SD-OCT) showed complete fluid resolution without recurrence in five of the six cases. Four cases showed complete reabsorption after Intravitreal perfluoropropane plus laser, one patient needed an extra procedure (pars plana vitrectomy with inner limiting membrane peeling and pedicle flap inversion over the temporal optic disc margin) to achieve complete fluid reabsorption, and one patient had persistent intraretinal fluid and denied additional surgeries. The time between the initial procedure and total fluid reabsorption varied from 6.5 to 41 months (mean: 19.5 months). Best-corrected visual acuity improved after surgery on the last follow-up visit in all cases. Conclusion: 100% perfluoropropane intravitreal injection followed by photocoagulation along temporal optic disc margin was associated with anatomic and visual improvement in most cases, representing an alternative treatment approach for optic disc pit-associated macular detachment.

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“…Treatment modalities such as external laser therapy alone (13) , intravitreous gas injection alone (14) , laser therapy combined with gas (15) , vitrectomy associated with gas tamponade, with or without additional laser treatment (16)(17) and scleral buckling (18) have been described in the literature. In this particular case, the best choice was posterior vitrectomy via pars plana, with perfluorocarbon, endophotocoagulation and gas tamponade (C 3 F 8 ); however, active internal drainage of the subretinal fluid can lead to successful reattachment of the macula and improvement of central vision.…”

Section: Discussionmentioning

confidence: 99%