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Optical coherence tomography in optic pit maculopathy managed with vitrectomy-laser-gas
José García-Arumí1, Borja Corcóstegui Guraya, Ana Boixadera Espax
1Vall d'Hebrón Hospital, Universidad Autónoma de Barcelona, Barcelona, Spain. 17215jga@comb.es
Summary
Vitrectomy-laser-gas surgery significantly improved vision and achieved anatomical success in 11 patients with optic disc pit (ODP) maculopathy. Optical coherence tomography (OCT) aided diagnosis and monitoring of this condition.
Area of Science:
- Ophthalmology
- Retinal Surgery
Background:
- Optic disc pit (ODP) maculopathy is a condition with a historically poor visual prognosis.
- Limited therapeutic options exist, necessitating investigation into effective treatments.
Purpose of the Study:
- To evaluate the functional and anatomical outcomes of vitrectomy-laser-gas treatment for optic disc pit maculopathy.
- To assess the role of optical coherence tomography (OCT) in managing this condition.
Main Methods:
- Retrospective analysis of 11 eyes with ODP maculopathy treated with pars plana vitrectomy, posterior hyaloid dissection, peripapillary diode laser, and C3F8 gas injection.
- Pre- and postoperative best-corrected visual acuity (BCVA) and OCT imaging were recorded.
Main Results:
- Significant improvement in BCVA, with a mean gain of 4.4 Snellen lines and final mean BCVA of 20/32.
- Anatomical success, evidenced by macular reabsorption, was achieved in all cases within an average of 6.5 months.
- OCT confirmed the bilaminar structure and monitored subretinal fluid reabsorption, correlating with visual improvement (P=0.006).
Conclusions:
- Vitrectomy-laser-gas surgery offers improved vision and satisfactory anatomical results for ODP maculopathy.
- OCT is a valuable tool for diagnosing and monitoring ODP maculopathy.
- The low incidence of ODP maculopathy hinders definitive conclusions on treatment efficacy.