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Management of unresolved optic disc pit maculopathy with human amniotic membrane patch implant: A case report
Giacomo Boscia1, Giancarlo Sborgia2, Alfredo Niro3
1Eye Clinic Section, Department of Surgical Sciences, University of Turin, Turin, Italy.
Background/Purpose:
Inverted Inner Limiting Membrane (ILM)-flap approach can fail in the treatment of Optic disc pit maculopathy (ODPM). We report a surgical technique involving human amniotic membrane (hAM) patch implant to treat unresolved ODPM after inverted (ILM)-flap technique.
Case Report:
One patient with decreased visual acuity (1 LogMar) after unsuccessful inverted ILM-flap technique to treat ODPM, underwent hAM patch implant and was evaluated. A surgical approach including a 2 mm size graft patch of hAM implantation over the optic disc pit followed by fluid-air exchange was performed. A gas endotamponade was finally used. The patient was instructed to maintain face-down position for the first three days after surgery. The hAM patch remained detectable over the pit for the entire 6-months follow-up. The ODPM gradually resolved and visual acuity partially recovered to 0.17 LogMar during follow-up. No postoperative complications or recurrence were reported.
Conclusion:
hAM patch implant may be effective to manage ODPM after unsuccessful inverted ILM-flap.
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