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Management of recurrent optic disc pit-associated maculopathy with human amniotic membrane graft in a pediatric case
Aditya Kelkar1, Mounika Bolisetty1
1Department of Ophthalmology, National Institute of Ophthalmology, Pune, Maharashtra, India.
Background:
Optic disc pit-associated maculopathy (ODP-M) is a rare presentation in children. Therefore, only a few pediatric cases successfully managed have been reported in the literature. This video shows successful management of ODP-M with human amniotic membrane graft in a pediatric case presenting with recurrence with intraoperative optical coherence tomography (OCT).
Purpose:
To demonstrate a successful management of ODP-M with human amniotic membrane graft in a pediatric case presenting with recurrence.
Synopsis:
A 13-year-old patient who had been previously operated with 25-G pars plana vitrectomy with double internal limiting membrane peel and juxtapapillary endolaser with SF 6 gas tamponade for optic disc pit-associated maculopathy (ODP-M) presented with recurrence 9 months after primary surgery. Three 25-G sclerotomies were made and human amniotic membrane graft was tucked into the ODP; the position of the graft was confirmed with intraoperative ocular coherence tomography. Subretinal fluid rapidly resolved within 48 h and best-corrected visual acuity improved to 0.5 logMAR after one week. Later follow-ups showed no complications or recurrence.
Highlights:
This video shows successful management of ODP-M with human amniotic membrane graft in a pediatric case presenting with recurrence with intraoperative optical coherence tomography (OCT), without any additional tamponade.
Video Link:
https://youtu.be/rM79P7oU7GE.
