Inner retinal fenestration for paediatric optic disc pit maculopathy: a case series

Area of Science:

• Ophthalmology
• Retinal Surgery
• Pediatric Eye Care

Background:

• Optic disc pit maculopathy (ODPM) is a rare condition affecting the macula, often leading to visual impairment.
• Paediatric cases of ODPM present unique challenges in management and visual recovery.

Purpose of the Study:

• To evaluate the efficacy of dual inner retinal fenestration in treating paediatric optic disc pit maculopathy.
• To assess the anatomical and visual outcomes following this surgical intervention.

Main Methods:

• A retrospective, interventional case series involving paediatric patients with ODPM.
• Pars plana vitrectomy with creation of two inner retinal fenestrations and endogas tamponade.
• Assessment of outcomes via optical coherence tomography (OCT) for central retinal thickness and best-corrected visual acuity (BCVA).

Main Results:

• All six eyes showed progressive resolution of intraretinal and subretinal fluid.
• Significant improvement in central retinal thickness was observed postoperatively (p=0.04).
• Best-corrected visual acuity improved from logMAR 0.71 preoperatively to logMAR 0.16 at 1 year post-surgery.

Conclusions:

• Dual inner retinal fenestration is an effective surgical technique for paediatric ODPM.
• The procedure successfully resolves fluid and restores vision in affected children.
• Enabling fluid egress into the vitreous cavity appears to provide long-lasting amelioration of ODPM.