Spontaneous Regression of Optic Disc Pit Maculopathy in a Six-Year-Old Child

Bayar, Sezin Akça; Sezenöz, Almila Sarıgül; Pınarcı, Eylem Yaman; Yılmaz, Gürsel

doi:10.4274/tjo.57614

Cited by 15 publications

(14 citation statements)

References 7 publications

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“…I read with interest the article reporting spontaneous resolution of optic disc pit maculopathy in a boy. 1 Though the presence of an optic disc pit and associated macular involvement is undoubted in the presented case, the provided optical coherence tomography (OCT) does not clearly show typical intraretinal schisis (Figure 1B) 1 at multiple retinal levels which may communicate with the pit. Instead, it shows a sub-internal limiting membrane (sub-ILM) cavity.…”

Section: Dear Editormentioning

confidence: 72%

“… 4 In fact, some of these cavities may simulate a neurosensory retinal detachment or central serous chorioretinopathy on cursory clinical examination. 5 To confirm that the features of the current patient 1 are indeed related to the optic disc pit, it is necessary for the authors to provide an OCT scan which shows a connection of the presented cavity with the optic disc pit. Also, clear OCT scans of the fovea, both at presentation and at final follow-up would help our understanding of the visual recovery of the patient.…”

Section: Dear Editormentioning

confidence: 91%

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Spontaneous Resolution of Optic Disc Pit Maculopathy

Tripathy

2017

tjo

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Section: Dear Editormentioning

confidence: 72%

Section: Dear Editormentioning

confidence: 91%

Spontaneous Resolution of Optic Disc Pit Maculopathy

Tripathy

2017

tjo

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“…Indeed, albeit rare, other similar examples of spontaneous resolution of ODP maculopathy have been described in the literature, all featuring a relief of the vitreomacular traction forces in the macular region. 16 – 19 Novelty of this report is the progressive OCT-based documentation of this process.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous resolution of optic pit maculopathy: an OCT report

et al. 2020

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The separation of the vitreous from the optic nerve head and the macula plays a primary role in the spontaneous resolution of optic disc pit (ODP) maculopathy. Optical coherence tomography (OCT) helps in the non-invasive monitoring of this condition, when treated conservatively. The aim of this report was to describe a pediatric case of spontaneously resolved ODP maculopathy, managed conservatively and monitored by means of spectral domain (SD)-OCT. A 14-year-old girl presented with severe visual loss in the right eye (RE). Fundus examination demonstrated a temporal ODP with altered foveal reflex. The SD-OCT B-scans revealed severe intraretinal schisis-like changes, broad vitreal adhesion in the optic nerve head area, posterior hyaloid thickening, and vitreal entrapment in the premacular space. The patient was managed conservatively. Spontaneous resolution of ODP maculopathy took place over 3 months, with vision improved up to 1.0 (Snellen charts). The macular schisis progressively resolved after posterior vitreous detachment. In conclusion, in our report, a complete restoration of the foveal anatomy was achieved without any surgical intervention. This OCT-based report confirms the role of the vitreomacular abnormalities in the pathogenesis of the disease.

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“…In the management of ODP-M, especially in pediatric cases, a spontaneous resolution with an improvement of visual acuity is possible. 14,15 Therefore, a more conservative approach with 3-6 months of follow-up before any surgical procedure could be appropriate. However, it must be kept in mind that the number of pediatric cases is small, relapses are frequent, and the prognosis remains poor in approximately 25% to 75% of the patients.…”

Section: Conservative Managementmentioning

confidence: 99%

<p>Surgical Options for Optic Disc Pit Maculopathy: Perspectives and Controversies</p>

Pastor‐Idoate¹,

Fusté²,

García-Onrubia³

et al. 2020

OPTH

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Optic disc pit (ODP) is a rare congenital optic nerve head abnormality, which can be complicated by intraretinal and subretinal fluid at the macula (ODP-maculopathy) with progressive visual loss. The source of this fluid remains unclear and the most dominant hypotheses have pointed to vitreous cavity or cerebrospinal fluid. Although spontaneous resolution has been reported, the majority of untreated cases of ODP-maculopathy result in final visual acuity less than 20/200 or worse. A wide array of interventions, either individually or in combination with adjuvant treatments, have been tried with varying degrees of success. Recently, different surgical procedures to fill the ODP by self-sealing materials in combination with pars plana vitrectomy have been reported as an effective adjuvant treatment. However, given the relative rarity of this condition, the majority of reports describe a small retrospective case series, making it difficult to compare among different treatments options and create a consensus regarding the optimal treatment for ODP-maculopathy. In this situation, a mini-review about surgical treatment modalities and their results can be a useful approach to identify the most effective surgical option in the management of ODP-maculopathy.

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Spontaneous Regression of Optic Disc Pit Maculopathy in a Six-Year-Old Child

Cited by 15 publications

References 7 publications

Spontaneous Resolution of Optic Disc Pit Maculopathy

Spontaneous Resolution of Optic Disc Pit Maculopathy

Spontaneous resolution of optic pit maculopathy: an OCT report

<p>Surgical Options for Optic Disc Pit Maculopathy: Perspectives and Controversies</p>

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