Vitrectomy for Optic Disk Pit With Macular Schisis and Outer Retinal Dehiscence

Long-term outcomes of pars plana vitrectomy without internal limiting membrane peeling for optic disc pit maculopathy

“…However, very thin internal layers of the retina with cystic structure and schisis cavity in ODP maculopathy can make it prone to develop macular hole while attempting ILM peeling during the surgery. 35 The beneficial contribution of ILM peeling in addition to standard surgical procedure to better improve surgical and functional success is already controversial and remains to be established in future studies with larger series.…”

“…Differences in techniques result from the selection of adjuvant procedures such as short or long-acting gas tamponade, ILM peeling, endolaser photocoagulation in the peripapillary area and drainage of subretinal fluid. [27][28][29][30]33,[35][36][37][40][41][42][43][44][45][46][47] Hirakata et al 22 reported favourable results in 10 out of 11 patients treated with vitrectomy and gas exchange without endolaser photocoagulation. Hirakata et al 36 have also recently reported good surgical outcomes with vitrectomy but without laser treatment or gas tamponade for macular detachment with an optic disc pit.…”

“…Although various surgical techniques with different success rates have been reported in literature, [31][32][33][34][35][36][37][38][39][40][41][42][43][44][45][46][47] PPV with gas endotamponade seems to be the preferred procedure when surgery is selected. Differences in techniques result from the selection of adjuvant procedures such as short or long-acting gas tamponade, ILM peeling, endolaser photocoagulation in the peripapillary area and drainage of subretinal fluid.…”

“…4,11,[29][30][31][32] Although pars plana vitrectomy (PPV) and gas tamponade was performed at least twenty years ago, this procedure with or without inner limiting membrane (ILM) peeling has become more widespread in recent years. 28,[33][34][35][36][37][41][42][43][44][45][46][47] Endolaser photocoagulation to the temporal edge of optic disc is controversial and not applied by all authors. 20,22,36 Recently, intraretinal or subretinal fluid drainage has been reported as an additional procedure.…”

Prolonged follow-up period following intravitreal bevacizumab injection for stage 3+ retinopathy of prematurity

“…2 There is no full-thickness macular hole in the reported case; what is reported as a macular hole is actually a well-described outer retinal dehiscence ( Figure 2 of the article). 2,3 Even if the pits were invisible (it is clearly visible in Figure 1 at 3:00 meridian), the tell-tale schisis on OCT gives the clue to the presence of an occult optic disc dysplasia as the cause of maculopathy. 4 Therefore, this is certainly not the first report of an 'idiopathic' macular hole in a child, as there was neither a full-thickness hole at presentation nor was the pathology idiopathic.…”