[Vitrectomy-laser-gas for treating optic disk pits complicated by serous macular detachment].
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.
Taiel-Sartral
M
M
Clinique Ophtalmologique Universitaire de Créteil, Centre Hospitalier Intercommunal.
Mimoun
G
G
Glacet-Bernard
A
A
Delayre
T
T
Coscas
G
G
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
D005466:Fluorocarbons
Vitrectomie-laser-gaz pour le traitement des fossettes colobomateuses de la papille compliquées de décollement séreux rétinien maculaire.