title: Long-term outcomes of pars plana vitrectomy without internal limiting membrane peeling for optic disc pit maculopathy.
abstract: OBJECTIVE
  To evaluate the results of surgical treatment of maculopathy secondary to congenital optic pit anomaly with pars plana vitrectomy (PPV), endolaser to the temporal edge of the optic disc and C3F8 tamponade without internal limiting membrane (ILM) peeling.
  
  
  METHODS
  Thirteen eyes of 12 patients with serous macular detachment and/or macular retinoschisis secondary to congenital optic disc pit (ODP) were included in the study. All eyes underwent PPV, posterior hyaloid removal, endolaser photocoagulation on the temporal margin of the optic disc and 12% C3F8 gas tamponade. Anatomic success and functional outcome determined retrospectively by optical coherence tomography and measurement of best corrected visual acuity (BCVA), respectively were the main outcome parameters.
  
  
  RESULTS
  Two lines or more improvement in BCVA was obtained in 11 eyes and 6 of these eyes had 20/40 or better BCVA at the final visit. Subretinal or intraretinal fluid was completely resorbed postoperatively in 12 eyes but a little intraretinal fluid persisted in one eye at the 16-month follow-up. Better visual improvement was observed in patients treated by earlier surgical intervention.
  
  
  CONCLUSIONS
  PPV, C3F8 gas tamponade and endolaser to the optic disc margin without ILM peeling may yield favourable results in the treatment of ODP maculopathy.
authors.affiliation: Retina Eye Hospital, Bursa, Turkey.
authors.forename: R
authors.initials: R
authors.lastname: Avci
authors.affiliation: Retina Eye Hospital, Bursa, Turkey.
authors.forename: S
authors.initials: S
authors.lastname: Yilmaz
authors.affiliation: Kocatepe University Medical School Department of Ophthalmology, Afyonkarahisar, Turkey.
authors.forename: U U
authors.identifier: 0000000176034440
authors.initials: UU
authors.lastname: Inan
authors.affiliation: Uludag University Medical School Department of Ophthalmology, Bursa, Turkey.
authors.forename: B
authors.initials: B
authors.lastname: Kaderli
authors.affiliation: Retina Eye Hospital, Bursa, Turkey.
authors.forename: M
authors.initials: M
authors.lastname: Kurt
authors.affiliation: Uludag University Medical School Department of Ophthalmology, Bursa, Turkey.
authors.forename: O
authors.initials: O
authors.lastname: Yalcinbayir
authors.affiliation: Uludag University Medical School Department of Ophthalmology, Bursa, Turkey.
authors.forename: M
authors.initials: M
authors.lastname: Yildiz
authors.affiliation: Uludag University Medical School Department of Ophthalmology, Bursa, Turkey.
authors.forename: A
authors.initials: A
authors.lastname: Yucel
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D058450:Endotamponade; D019773:Epiretinal Membrane / Q000601:surgery; D005124:Eye Abnormalities / Q000150:complications*; D005260:Female; D005466:Fluorocarbons / Q000008:administration & dosage; D005500:Follow-Up Studies; D006801:Humans; D007431:Intraoperative Complications; D017075:Laser Coagulation; D008297:Male; D008875:Middle Aged; D009898:Optic Disk / Q000002:abnormalities*; D012163:Retinal Detachment / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D041441:Retinoschisis / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D041623:Tomography, Optical Coherence; D016896:Treatment Outcome; D014792:Visual Acuity / Q000502:physiology; D014821:Vitrectomy / Q000379:methods*; D055815:Young Adult
chemical_list: D005466:Fluorocarbons; C042852:perflutren
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