Minimal gauge vitrectomy for optic disc pit maculopathy: Our results

Area of Science:

• Ophthalmology
• Retinal Surgery
• Macular Diseases

Background:

• Optic disc pit maculopathy is a condition affecting vision.
• Surgical interventions aim to improve outcomes for patients with this condition.

Purpose of the Study:

• To describe the surgical technique and clinical outcomes of pars plana vitrectomy without laser or gas tamponade for optic disc pit maculopathy.
• To evaluate the efficacy of this specific surgical approach.

Main Methods:

• Six eyes with unilateral optic disc pit maculopathy underwent 23-gauge pars plana vitrectomy.
• Procedures included induction of posterior vitreous detachment (PVD) and internal limiting membrane (ILM) peeling.
• Eyes were closed under fluid, with follow-up for at least 12 months.

Main Results:

• Inner and outer retinal schisis resolved in all eyes within 6 months.
• Subretinal fluid resolved in 4 of 5 eyes with neurosensory detachment (NSD).
• Mean visual acuity improved significantly from 0.79 to 0.36 logMAR units at 12 months (P = 0.001).

Conclusions:

• Pars plana vitrectomy with ILM peeling and PVD induction alone is effective for optic disc pit maculopathy.
• This technique achieves good functional outcomes without laser or gas tamponade.
• The procedure offers a promising minimally invasive option for managing this condition.