Surgical Options for Optic Disc Pit Maculopathy: Perspectives and Controversies.
optic disc pit
optic disc pit maculopathy
optic disc pit maculopathy treatments
optic nerve stuffing
pars plana vitrectomy
post-operative outcomes
Journal
Clinical ophthalmology (Auckland, N.Z.)
ISSN: 1177-5467
Titre abrégé: Clin Ophthalmol
Pays: New Zealand
ID NLM: 101321512
Informations de publication
Date de publication:
2020
2020
Historique:
received:
23
02
2020
accepted:
16
04
2020
entrez:
2
7
2020
pubmed:
2
7
2020
medline:
2
7
2020
Statut:
epublish
Résumé
Optic disc pit (ODP) is a rare congenital optic nerve head abnormality, which can be complicated by intraretinal and subretinal fluid at the macula (ODP-maculopathy) with progressive visual loss. The source of this fluid remains unclear and the most dominant hypotheses have pointed to vitreous cavity or cerebrospinal fluid. Although spontaneous resolution has been reported, the majority of untreated cases of ODP-maculopathy result in final visual acuity less than 20/200 or worse. A wide array of interventions, either individually or in combination with adjuvant treatments, have been tried with varying degrees of success. Recently, different surgical procedures to fill the ODP by self-sealing materials in combination with pars plana vitrectomy have been reported as an effective adjuvant treatment. However, given the relative rarity of this condition, the majority of reports describe a small retrospective case series, making it difficult to compare among different treatments options and create a consensus regarding the optimal treatment for ODP-maculopathy. In this situation, a mini-review about surgical treatment modalities and their results can be a useful approach to identify the most effective surgical option in the management of ODP-maculopathy.
Identifiants
pubmed: 32606575
doi: 10.2147/OPTH.S250921
pii: 250921
pmc: PMC7308761
doi:
Types de publication
Journal Article
Langues
eng
Pagination
1601-1608Informations de copyright
© 2020 Pastor-Idoate et al.
Déclaration de conflit d'intérêts
The authors report no conflicts of interest in this work.
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