title: Vitrectomy combined with glial tissue removal at the optic pit in a patient with optic disc pit maculopathy: a case report.
abstract: BACKGROUND
  We present a case of a man with optic disc pit maculopathy, whose vision improved after vitrectomy combined with glial tissue removal from the optic pit area, and without the use of photocoagulation.
  
  
  METHODS
  A 45-year-old man complained of blurred vision, and ophthalmoscopy revealed a retinal detachment and retinoschisis extending from an optic disc pit through the macula in his left eye. He was diagnosed with optic disc pit maculopathy, and vitrectomy was performed. A posterior vitreous detachment was created, glial tissue at the optic pit was removed, and octafluoropropane (C3F8) was injected as a gas tamponade. The retinal detachment and retinoschisis disappeared after six months, and vision improved to 20/20 without any visual field defects (Goldmann perimetry). A cataractous lens was extracted 2 years after the vitrectomy, and vision has remained 20/20 for 10 years without any recurrence.
  
  
  CONCLUSIONS
  The removal of glial tissue during vitrectomy may be beneficial in patients with optic disc pit maculopathy.
authors.affiliation: Department of Ophthalmology, Keio University School of Medicine, Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan. inoue@eye-center.org.
authors.forename: Makoto
authors.initials: M
authors.lastname: Inoue
authors.forename: Kei
authors.initials: K
authors.lastname: Shinoda
authors.forename: Susumu
authors.initials: S
authors.lastname: Ishida