Surgical management of optic disc pit associated maculopathy.
OBJECTIVE
To report the surgical outcome in seven cases of optic disc pit associated maculopathy.


METHODS
This was a retrospective case-note analysis of presenting features, pre- and postoperative visual acuities, surgical procedures, complications, and follow-up. The principal treatment in all the cases was pars plana vitrectomy, posterior hyaloid peel, endolaser to the papillomacular bundle temporal to the disc, and internal tamponade with gas or silicone oil.


RESULTS
Of the four male and three female patients, two were children. All the patients had posterior hyaloid peeling during the vitrectomy and endolaser. Six patients had intraocular gas tamponade and one had silicone oil. Four patients needed a second surgical procedure to obtain a satisfactory anatomic and visual outcome. Postoperatively, four patients had an improvement of 2 or more Snellen lines. One patient with a history of multiple surgeries developed high intraocular pressure postoperatively and cataract. The mean follow-up period was 9.1 months.


CONCLUSIONS
Serous retinopathy associated with optic disc pit responds well to early vitrectomy, endolaser, and internal tamponade. Silicone oil was effective in one refractory case. Cumulative data are required to define the management of this condition.
Ghosh
Y K
YK
Department of Vitreo-retinal Surgery, Birmingham & Midland Eye Centre, City Hospital NHS Trust, Birmingham, UK.
Banerjee
S
S
Konstantinidis
A
A
Athanasiadis
I
I
Kirkby
G R
GR
Tyagi
A K
AK
D000328:Adult; D002648:Child; D005124:Eye Abnormalities / Q000150:complications / Q000601:surgery*; D005260:Female; D006801:Humans; D017075:Laser Coagulation; D008297:Male; D008875:Middle Aged; D009898:Optic Disk / Q000002:abnormalities*; D012163:Retinal Detachment / Q000209:etiology / Q000601:surgery*; D012189:Retrospective Studies; D012827:Silicone Oils / Q000627:therapeutic use; D013459:Sulfur Hexafluoride / Q000627:therapeutic use; D014792:Visual Acuity; D014821:Vitrectomy
D012827:Silicone Oils; D013459:Sulfur Hexafluoride