23-Guage Pars Plana Vitrectomy with Small-sized Autologous Internal Limiting Membrane Flap for Optic Disc Pit Maculopathy

https://www.doi.org/10.60787/tnhj-621

Authors

  • Otabor-Olubor OJ University of Benin Teaching Hospital
  • Pathan AHK

Keywords:

Optic disc pit maculopathy, pars plana vitrectomy, internal limiting membrane flap, gas endo tamponade

Abstract

Background: Optic disc pit maculopathy, although a rare condition, often leads to irreversible visual loss if left untreated. A few treatment options have been reported, but there is presently no set protocol for treatment of this condition. The surgical management of two patients with optic disc pit maculopathy is presented.

Method: We reviewed the pre-operative and post-operative visual acuity, the pre-operative and post-operative macula optical coherence tomography of both patients, and the surgical techniques performed.

Findings: Pars plana vitrectomy with autologous internal limiting membrane flap resulted in resolution of optic disc pit maculopathy

Conclusion: Prompt surgical intervention is necessary to optimize visual prognosis. We suggest pars plana vitrectomy with internal limiting membrane flap and gas endo-tamponade.

References

Moisseiev E, Moisseiev J, Loewenstein A. Optic disc pit maculopathy: when and how to treat? A review of the pathogenesis and treatment options. International journal of retina and vitreous. 2015;1(1):1-9.

Qayum S, Sullivan T, Park SC, Merchant K, Banik R, Liebmann JM, Ritch R. Structure and clinical significance of central optic disc pits. Ophthalmology. 2013;120(7):1415-1422.

Postel EA, Pulido JS, McNamara JA, Johnson MW. The etiology and treatment of macular detachment associated with optic nerve pits and related anomalies. Transactions of the American Ophthalmological Society. 1998; 96:73 – 93.

Hirakata A, Okada AA, Hida T. Long-term results of vitrectomy without laser treatment for macular detachment associated with an optic disc pit. Ophthalmology. 2005;112(8):1430-1435.

Hirakata A, Inoue M, Hiraoka T, McCuen II BW. Vitrectomy without laser treatment or gas tamponade for macular detachment associated with an optic disc pit. Ophthalmology. 2012;119(4):810-818.

Abouammoh MA, Alsulaiman SM, Gupta VS, Mousa A, Hirakata A, Berrocal MH, Chenworth M, Chhablani J, Oshima Y, AlZamil WM, Casella AM. 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. British Journal of Ophthalmology. 2016;100(4):478-483.

Georgalas I, Ladas I, Georgopoulos G, Petrou P. Optic disc pit: A review. Graefes Arch Clin Exp Ophthalmol. 2011; 249: 1113–1122.

Kuhn F, Kover F, Szabo I, Mester V. Intracranial migration of silicone oil from an eye with optic pit. Graefe's Archive for Clinical and Experimental Ophthalmology. 2006;244(10):1360-1362.

Teke MY, Citirik M. 23 gauge vitrectomy, endolaser, and gas tamponade versus vitrectomy alone for serous macular detachment associated with optic disc pit. American journal of ophthalmology. 2015;160(4):779-785.

Coca MN, Tofigh S, Elkeeb A, Godley BF. Optic disc pit maculopathy recurring in the absence of vitreous gel. JAMA Ophthalmology. 2014; 132:1375–1376.

Kumar N, Al Sabti K. Fibrin glue in ophthalmology. Indian J Ophthalmol. 2010; 58:176.

Downloads

Published

2024-01-15

How to Cite

Otabor-Olubor, O., & Pathan, A. (2024). 23-Guage Pars Plana Vitrectomy with Small-sized Autologous Internal Limiting Membrane Flap for Optic Disc Pit Maculopathy: https://www.doi.org/10.60787/tnhj-621. The Nigerian Health Journal, 23(4), 984–989. Retrieved from https://tnhjph.com/index.php/tnhj/article/view/621

Issue

Section

Case Report and Series

Similar Articles

1 2 3 4 5 6 7 8 9 10 > >> 

You may also start an advanced similarity search for this article.