title: Vitrectomy without laser treatment for macular serous detachment associated with optic disc pit: long-term outcomes.
abstract: OBJECTIVE
  To evaluate the clinical outcome of surgical treatment for macular serous detachment associated with optic disc pit with pars plana vitrectomy (PPV) without laser photocoagulation on the temporal edge.
  
  
  METHODS
  Vitrectomy was performed in 8 eyes of 8 patients (mean age 27.25 years; range 12-57 years) with unilateral macular detachment associated with optic disc pit. All patients underwent pars plana vitrectomy (cases 1, 2, 3, and 4, PPV 20 G; cases 5, 6, 7, and 8, PPV 25 G), internal limiting membrane (ILM) peeling, and SF6 20% gas tamponade (case 1 was treated with silicone oil tamponade). Endolaser on the temporal margin of the optic disk was not performed. Every patient was observed for a follow-up period of 59.25 months after surgery. Statistical analysis was carried out using Student t test paired data. p Value &lt;0.05 was considered to be significant.
  
  
  RESULTS
  Complete retinal reattachment was achieved in 7 of 8 patients. Case 8 was operated 11 months ago and he still has a small area of subretinal fluid not completely reabsorbed. Mean preoperative best-corrected visual acuity (BCVA) was 20/83 and the mean postoperative BCVA was 20/40. Mean preoperative foveal thickness was 973 μm and mean postoperative foveal thickness was 363.5 μm. Case 7 developed a macular hole after treatment.
  
  
  CONCLUSIONS
  Pars plana vitrectomy, ILM peeling, and endotamponade (SF6 20% gas) without endolaser on the temporal edge of optic disc is an effective treatment. This procedure achieved successful anatomical and functional results.
authors.affiliation: Ophthalmology Department, Pierantoni-Morgagni Hospital, Forlì - Italy.
authors.forename: Pietro Maria
authors.initials: PM
authors.lastname: Talli
authors.affiliation: Ophthalmology Department, Pierantoni-Morgagni Hospital, Forlì - Italy.
authors.forename: Paolo Maria
authors.initials: PM
authors.lastname: Fantaguzzi
authors.affiliation: Ophthalmology Department, Pierantoni-Morgagni Hospital, Forlì - Italy.
authors.forename: Edlira
authors.initials: E
authors.lastname: Bendo
authors.affiliation: Ophthalmology Department, Università di Bologna, Bologna - Italy.
authors.forename: Alberto
authors.initials: A
authors.lastname: Pazzaglia
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D058450:Endotamponade / Q000379:methods; D005124:Eye Abnormalities / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D006801:Humans; D017075:Laser Coagulation; D008297:Male; D008875:Middle Aged; D009898:Optic Disk / Q000002:abnormalities*; D012163:Retinal Detachment / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D012189:Retrospective Studies; D013459:Sulfur Hexafluoride / Q000008:administration & dosage; D041623:Tomography, Optical Coherence; D016896:Treatment Outcome; D014792:Visual Acuity / Q000502:physiology; D014821:Vitrectomy / Q000379:methods*; D055815:Young Adult
chemical_list: D013459:Sulfur Hexafluoride