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Plug the pit: a surgical technique for optic disc pit.

Davide Borroni¹, Chiara Bonzano², Rahul Rachwani Anil³

¹The Veneto Eye Bank Foundation, Venice, Italy.

Romanian Journal of Ophthalmology

|January 28, 2022

Summary

A novel surgical technique using a silicone punctal plug effectively treated optic disc pit (ODP) associated with persistent macular detachment. This innovative approach improved visual acuity in a refractory case, suggesting potential for ODP management.

Keywords:

maculopathy optic disc pit punctal plug

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Area of Science:

Ophthalmology
Surgical Techniques
Retinal Diseases

Background:

Optic disc pit (ODP) can lead to serious complications like serous macular detachment and macular holes.
Conventional treatments for ODP-related complications, such as vitrectomy and autologous serum, may not always be effective.

Observation:

A patient presented with refractory serous macular detachment and a secondary full-thickness macular hole linked to an ODP.
Previous treatments, including pars-plana vitrectomy with internal limiting membrane peeling and autologous serum application, had failed.

Findings:

A novel surgical technique was employed, utilizing a silicone punctal plug to close the ODP and a human amniotic membrane graft for the macular hole.
Postoperatively, the serous macular detachment resolved, and the patient's visual acuity improved significantly from counting fingers to 6/38 at one year.

Implications:

This technique demonstrates promise as a safe and effective option for managing refractory serous macular detachment associated with ODP.
Further research with larger patient cohorts and extended follow-up periods is warranted to confirm the long-term safety and efficacy of this surgical approach.