title: [Vitrectomy-laser-gas for treating optic disk pits complicated by serous macular detachment].
abstract: OBJECTIVE
  Optic nerve pit is a rare congenital anomaly. In two third of the patients, the severity of the disease is increased by the apparition of a serous macular detachment, which may compromise the visual prognosis. The aim of this study is to propose a therapy appropriate to such complication.
  
  
  METHODS
  A prospective study was performed including 10 patients with a serous macular detachment caused by optic nerve pit. All patients underwent intraocular surgery including vitrectomy, peripapillary photocoagulation and intravitreal injection of gas. The mean postoperative follow-up period was 9.5 months.
  
  
  RESULTS
  Therapy success was based on anatomical and functional results. Serous macular detachment reattached in 7 patients out of 10 and a recurrence was observed in one case. Visual acuity improved from 0 to 18 lines of the EDTRS chart (mean increase: 6.7 lines).
  
  
  CONCLUSIONS
  These results confirm that intraocular surgery including vitrectomy-photocoagulation-gas injection is a valuable treatment for serous macular detachment associated with optic nerve pit.
authors.affiliation: Clinique Ophtalmologique Universitaire de Créteil, Centre Hospitalier Intercommunal.
authors.forename: M
authors.initials: M
authors.lastname: Taiel-Sartral
authors.forename: G
authors.initials: G
authors.lastname: Mimoun
authors.forename: A
authors.initials: A
authors.lastname: Glacet-Bernard
authors.forename: T
authors.initials: T
authors.lastname: Delayre
authors.forename: G
authors.initials: G
authors.lastname: Coscas
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D003103:Coloboma / Q000150:complications* / Q000628:therapy; D003131:Combined Modality Therapy; D005466:Fluorocarbons / Q000008:administration & dosage; D006801:Humans; D017075:Laser Coagulation; D008266:Macula Lutea; D008875:Middle Aged; D009898:Optic Disk / Q000002:abnormalities*; D011446:Prospective Studies; D012163:Retinal Detachment / Q000209:etiology* / Q000628:therapy; D014821:Vitrectomy
chemical_list: D005466:Fluorocarbons
vernacular_title: Vitrectomie-laser-gaz pour le traitement des fossettes colobomateuses de la papille compliquées de décollement séreux rétinien maculaire.