A prospective long-term follow-up study of optic disc pit maculopathy treated with pars plana vitrectomy, drainage of subretinal fluid and peeling of internal limiting membrane.
Adolescent
Adult
Basement Membrane
/ surgery
Child
Endotamponade
/ methods
Female
Follow-Up Studies
Humans
Laser Coagulation
/ methods
Macula Lutea
/ pathology
Male
Optic Disk
/ abnormalities
Prospective Studies
Retinal Diseases
/ diagnosis
Subretinal Fluid
Tomography, Optical Coherence
/ methods
Visual Acuity
Vitrectomy
/ methods
Young Adult
ODP
long term
maculopathy
optic disc pit
Journal
Acta ophthalmologica
ISSN: 1755-3768
Titre abrégé: Acta Ophthalmol
Pays: England
ID NLM: 101468102
Informations de publication
Date de publication:
Dec 2020
Dec 2020
Historique:
received:
30
03
2020
revised:
21
04
2020
accepted:
24
04
2020
pubmed:
19
5
2020
medline:
11
8
2021
entrez:
19
5
2020
Statut:
ppublish
Résumé
To describe the long-term results of surgical repair of patients with optic disc pit maculopathy (ODP-M). Prospective, consecutive, noncomparative follow-up study including 12 patients with ODP-M treated by pars plana vitrectomy (PPV), peeling of internal limiting membrane followed by gas tamponade. Subretinal fluid (SRF) was drained in 11 eyes through a retinotomy without laser photocoagulation. Preoperatively, macular detachment with retinoschisis was seen in 9 out of 12 eyes with three eyes having only subretinal fluid in the macular area. The median age at surgery was 20 years (range 9-60 years). Follow-up time from initial surgery was 63 months (median). Eight eyes were anatomically reattached after one operation without remaining SRF in the macula. Two patients required a reoperation due to leakage from the retinotomy and another two underwent a second PPV procedure due to late recurrences. Successful healing was at follow-up control observed in 11 of 12 eyes. There was no statistically significant difference in visual acuity between patients before and after surgery (p = 0.24). Central visual field defects with depressed mean deviation were detected in all treated eyes. In this long-term study of ODP-M final outcome regarding healing was relatively efficacious, however, a relatively large proportion had complications associated to retinotomies. We conclude that drainage of SRF should likely be avoided since it appears to contribute little to the resorption rate of SRF and seems to linked to unnecessary risks.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
822-827Informations de copyright
© 2020 The Authors. Acta Ophthalmologica published by John Wiley & Sons Ltd on behalf of Acta Ophthalmologica Scandinavica Foundation.
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