title: [Vitrectomy in optic nerve disc pit with maculopathy].
abstract: There is described a rare case of a congenital optic disc pit of the 20-years old man that was accompanied by a cyst-like change in the macula with serous retinal detachment. Visual impairment in his right eye was treated with pars-plana-vitrectomy with surgical posterior vitreous detachment and gas tamponade. After temporary pneumatic displacement of the subretinal fluid inferiorly the corrected visual acuity improved to 6/9. Schisislike changes persisted in the macular area. Our findings could support the view on the two-layer structure of optic disk pit maculopathy and an important role of tangential vitreous traction in the pathogenesis of the central retinal detachment.
authors.affiliation: Ocní klinika 1, Praha.
authors.forename: B
authors.initials: B
authors.lastname: Kalvodová
authors.forename: R
authors.initials: R
authors.lastname: Rícarová
authors.forename: P
authors.initials: P
authors.lastname: Kuthan
authors.forename: I
authors.initials: I
authors.lastname: Karel
mesh_terms: D000328:Adult; D006801:Humans; D008266:Macula Lutea; D008297:Male; D009898:Optic Disk / Q000002:abnormalities*; D012163:Retinal Detachment / Q000601:surgery; D012164:Retinal Diseases / Q000150:complications / Q000601:surgery*; D014821:Vitrectomy