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[Optic pit maculopathy: incidence and clinical course]
Caroline Chan1, Fabian Norbert Fries2, Barbara Käsmann-Kellner2
1Klinik für Augenheilkunde, Universitätsklinikum des Saarlandes UKS in Homburg/Saar, Kirrberger Str. 100, 66424, Homburg/Saar, Deutschland. caroline.chan@uks.eu.
Die Ophthalmologie
|October 10, 2023
Summary
This study found that surgical intervention, such as pars plana vitrectomy, significantly improved vision and retinal structure in patients with optic pit maculopathy. Treatment led to reduced retinal thickness and sustained visual gains.
Area of Science:
- Ophthalmology
- Retinal Diseases
- Surgical Interventions
Context:
- Optic pit maculopathy is a condition characterized by fluid accumulation in the macula originating from an optic disc pit.
- Understanding the clinical course and treatment outcomes is crucial for managing this rare condition.
Purpose:
- To investigate the clinical course and treatment outcomes of patients diagnosed with optic pit maculopathy.
- To evaluate the effectiveness of surgical interventions in improving visual acuity and retinal structure.
Summary:
- A case series reviewed 18 patients with optic disc pits, identifying optic pit maculopathy in 6 (33.3%).
- Four patients underwent pars plana vitrectomy with internal limiting membrane peeling, resulting in significant improvements in best corrected visual acuity (BCVA) and reductions in central, nasal parafoveal, and nasal perifoveal retinal thickness (RT).
- A dry macula was achieved in all surgically treated eyes, with no recurrence at long-term follow-up.
Impact:
- Surgical treatment, including pars plana vitrectomy, offers a viable therapeutic option for optic pit maculopathy.
- Interventions lead to significant functional and anatomical recovery, improving patient outcomes.
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