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Vitrectomy for optic disc pit maculopathy: a long-term follow-up study.

Ferdinando Bottoni1, Matteo Cereda2, Roberta Secondi2

  • 1Eye Clinic, Department of Clinical Science "Luigi Sacco", Sacco Hospital, University of Milan, Milan, Italy. ferdinando.bottoni@fastwebnet.it.

Graefe'S Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Fur Klinische Und Experimentelle Ophthalmologie
|February 8, 2018
PubMed
Summary

Vitrectomy with posterior vitreous detachment (PVD) induction effectively treats optic disc pit maculopathy, improving visual acuity. Ocriplasmin may enhance PVD induction and reduce surgical risks.

Keywords:
MaculopathyOptic disc pitPars plana vitrectomyRetinoschisis

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Area of Science:

  • Ophthalmology
  • Retinal Surgery

Background:

  • Optic disc pit maculopathy is a condition affecting vision.
  • Surgical intervention is often necessary for managing macular complications.

Purpose of the Study:

  • To assess the clinical outcomes of vitrectomy with induced posterior vitreous detachment (PVD) for optic disc pit maculopathy.

Main Methods:

  • Retrospective analysis of 11 patients with optic disc pit maculopathy.
  • Vitrectomy with PVD induction; ocriplasmin used in 3 cases.
  • Optical coherence tomography and best-corrected visual acuity (BCVA) were primary outcome measures.

Main Results:

  • Macular detachment resolved in 80% of eyes post-surgery.
  • Significant improvement in BCVA from 0.27 to 0.63 (P=0.005).
  • Ocriplasmin appeared to reduce PVD induction time.

Conclusions:

  • Vitrectomy with PVD induction is a safe and effective treatment for optic disc pit maculopathy.
  • Ocriplasmin may aid PVD induction and mitigate risks of iatrogenic retinal holes.