title: Macular detachment associated with an optic pit: optical coherence tomography patterns and surgical outcomes.
abstract: OBJECTIVE
  To describe the different optical coherence tomography (OCT) patterns in macular detachment associated with an optic disc pit and their long-term evolution following vitrectomy.
  
  
  METHODS
  The data of 5 patients (9-43 years of age) with unilateral macular detachment associated with an optic disc pit, who had at least 1 year of follow-up, were compiled. Pars plana vitrectomy combined with gas tamponade was performed as the primary procedure in all patients. The OCT scans, best-corrected visual acuity (BCVA), and anatomic outcomes were documented.
  
  
  RESULTS
  Two main OCT patterns were identified: a multilayer schisis pattern and a serous detachment pattern. Patients with multilayer schisis pattern were older and demonstrated worse mean preoperative (20/160) and postoperative (20/50) BCVA compared to serous detachment pattern patients (20/30 and 20/20, respectively). An average of 2.3 procedures per patient was needed in the multilayer schisis pattern compared to just one procedure in the serous detachment pattern. In 3 patients, additional pneumatic retinopexy was performed with full resolution of the subretinal fluid achieved.
  
  
  CONCLUSIONS
  Two distinct OCT patterns were observed in eyes with macular detachments with an optic pit, with different clinical features and prognoses. Excellent final visual acuity was obtained in all eyes, including those that required several surgical procedures.
authors: The Goldschleger Eye Institute, Sheba Medical Center, Tel Hashomer and The Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. skaatalon@gmail.com
authors: Alon
authors: A
authors: Skaat
authors: Iris
authors: I
authors: Moroz
authors: Joseph
authors: J
authors: Moisseiev
mesh_terms: D000328:Adult; D002648:Child; D058450:Endotamponade; D005124:Eye Abnormalities / Q000150:complications*; D005260:Female; D005466:Fluorocarbons / Q000008:administration & dosage; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009898:Optic Disk / Q000002:abnormalities*; D012163:Retinal Detachment / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D041623:Tomography, Optical Coherence; D016896:Treatment Outcome; D014821:Vitrectomy; D055815:Young Adult
chemical_list: D005466:Fluorocarbons; C042852:perflutren