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Quantitative assessment of macular function after surgery for optic disc pit maculopathy: A case report
Wataru Inami1, Yuji Yoshikawa, Masayuki Shibuya
1Department of Ophthalmology, Faculty of Medicine, Saitama Medical University, Moroyama-machi, Iruma-gun, Saitama, Japan.
Medicine
|December 23, 2021
Summary
Vitrectomy with juxtapapillary laser treatment effectively resolved optic disc pit maculopathy, leading to anatomical reattachment and improved vision. This approach offers a favorable long-term outcome for patients with this condition.
Area of Science:
- Ophthalmology
- Retinal Diseases
- Surgical Interventions
Background:
- Optic disc pit maculopathy (ODP-M) is a condition characterized by serous retinal detachment (SRD) and retinoschisis (RS).
- This case report focuses on a patient with ODP-M experiencing visual disturbances.
Observation:
- An 80-year-old male presented with a 12-month history of distorted vision and decreased visual acuity (VA) in his left eye.
- Fundus examination and optical coherence tomography revealed SRD and RS associated with the optic disc, with a best-corrected VA of 0.7 logMAR.
Findings:
- The patient underwent pars plana vitrectomy combined with juxtapapillary laser (JPL) treatment.
- Post-operatively, SRD and RS gradually resolved, with complete disappearance by 31 months.
- Visual acuity improved to 0.0 logMAR by 28 months, and macular thickness normalized, indicating favorable anatomical and functional recovery.
Implications:
- Vitrectomy with JPL treatment demonstrates positive anatomical and long-term functional outcomes for ODP-M.
- These findings offer valuable insights for clinicians in developing therapeutic strategies and selecting surgical procedures for ODP-M.
