Vitrectomy with Inner Retinal Fenestration for Optic Disc Pit Maculopathy

Ooto, Sotaro; Mittra, Robert A.; Ridley, Miriam E.; Spaide, Richard F.

doi:10.1016/j.ophtha.2014.04.006

Cited by 67 publications

(53 citation statements)

References 34 publications

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“…Ooto et al 27 introduced a new technique of inner retinal fenestration, making a partial thickness fenestration adjacent to the pit, to redirect fluid into the vitreous cavity instead of into the retina. Recently the same group reported complete resolution of fluid in and under the fovea in 17 eyes (94%) without additional treatment with no recurrence of SRF or intraretinal fluid.…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2015

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Section: Discussionmentioning

confidence: 99%

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

et al. 2015

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“…Certainly, the best clinical evidence to determine which treatment is superior in patients with ODP maculopathy would be obtained through a randomized clinical trial of different adjuvant surgical procedures to PPV [10, 11, 13, 14, 18, 22, 25, 28-30]. However, it is unlikely that such a trial can be performed for this very rare clinical entity.…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2019

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Purpose: To compare the anatomical and functional outcome of adjuvant pars plana vitrectomy (PPV) procedures using the techniques of translocation of an internal limiting membrane (ILM) flap and transplantation of an inverted ILM flap for the treatment of chronic and/or refractory optic disc pit (ODP) maculopathy. Methods: In this prospective interventional case series study, 9 patients (9 eyes) with chronic and/or refractory ODP maculopathy underwent PPV with either translocation of an ILM flap or transplantation of an inverted ILM flap as adjuvant techniques along with gas tamponade. The anatomical success, rates of macular reattachment, and visual improvement were assessed. Results: The mean preoperative central retinal thickness (CRT) was 723.4 µm (range: 366–1,151). The mean postoperative CRT was 398.1 ± 212.2 µm (range: 210–758). An increased preoperative CRT was associated with a lower chance of postoperative reattachment of the macula (p = 0.047). The overall reattachment rate at the end of the follow-up period was 56% (n = 5). The mean preoperative visual acuity (logMAR unit [Snellen acuity]) was 0.48 (20/60) (range: 1.30 [20/400] to 0.10 [20/25]). The mean change in best corrected visual acuity (BCVA) was 0.48 ± 0.233 logMAR units (approx. 3 lines of visual improvement). Conclusions: ILM flap techniques are logical and straightforward approaches as adjuvants to PPV treatment of ODP maculopathy. They could be viable adjuvant treatments for improvement in BCVA and CRT in patients with ODP maculopathy.

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“…7 Other novel surgical techniques as inner retinal fenestration reveal promising results, as complete resolution in 17 of 23 eyes. 8 The ODM cases that are unresponsive to vitrectomy are rare but challenging, and there are not much data for surgical options. Rosenthal et al 9 reported use of autologous platelet treatment for a persistent ODM case.…”

Section: Discussionmentioning

confidence: 99%

A New Technique With Autologous Fibrin for the Treatment of Persistent Optic Pit Maculopathy

Özdek

Özdemir

2017

RETINAL Cases &Amp; Brief Reports

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Vitrectomy with Inner Retinal Fenestration for Optic Disc Pit Maculopathy

Cited by 67 publications

References 34 publications

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

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

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

A New Technique With Autologous Fibrin for the Treatment of Persistent Optic Pit Maculopathy

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