title: Analysis of pars plana vitrectomy for optic pit-related maculopathy with intraoperative optical coherence tomography: a possible connection with the vitreous cavity.
abstract: Optimal management of optic pit-related maculopathy remains to be determined. The fluid source for the maculopathy also remains controversial. In this article, we present a unique surgical technique for internal drainage of the intraretinal fluid and describe the intraoperative use of spectral-domain optical coherence tomography to assist in the surgical management of this condition. Pars plana vitrectomy was performed with elevation of the posterior hyaloid. Following an air-fluid exchange, aspiration over the optic nerve pit was performed. Following aspiration, intraoperative spectral-domain optical coherence tomography demonstrated collapse of the retinoschisis, strongly suggesting a connection between the vitreous cavity and the intraretinal fluid.
authors.affiliation: Cole Eye Institute, Cleveland, Ohio, USA.
authors.forename: Justis P
authors.initials: JP
authors.lastname: Ehlers
authors.forename: Kendal
authors.initials: K
authors.lastname: Kernstine
authors.forename: Sina
authors.initials: S
authors.lastname: Farsiu
authors.forename: Neeru
authors.initials: N
authors.lastname: Sarin
authors.forename: Ramiro
authors.initials: R
authors.lastname: Maldonado
authors.forename: Cynthia A
authors.initials: CA
authors.lastname: Toth
mesh_terms: D005124:Eye Abnormalities / Q000175:diagnosis / Q000601:surgery*; D005451:Fluorescein Angiography; D006801:Humans; D007432:Intraoperative Period; D008269:Macular Edema / Q000175:diagnosis / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009898:Optic Disk / Q000002:abnormalities*; D041441:Retinoschisis / Q000175:diagnosis / Q000601:surgery*; D041623:Tomography, Optical Coherence; D014792:Visual Acuity; D014821:Vitrectomy / Q000379:methods*; D014822:Vitreous Body / Q000473:pathology*
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