Management of optic disc pit-associated maculopathy: A case series from a tertiary referral center

Muftuoglu I. K., Tokuc E., KARABAŞ V. L.

EUROPEAN JOURNAL OF OPHTHALMOLOGY, cilt.32, sa.3, ss.1720-1727, 2022 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 32 Sayı: 3
  • Basım Tarihi: 2022
  • Doi Numarası: 10.1177/11206721211023727
  • Dergi Adı: EUROPEAN JOURNAL OF OPHTHALMOLOGY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, CAB Abstracts, EMBASE, MEDLINE
  • Sayfa Sayıları: ss.1720-1727
  • Anahtar Kelimeler: Optic pit, vitrectomy, PPV, optic pit maculopathy, ODP maculopathy, INTERNAL LIMITING MEMBRANE, PARS-PLANA VITRECTOMY, NERVE HEAD PIT, DETACHMENT
  • Kocaeli Üniversitesi Adresli: Evet

Özet

Purpose: To report outcomes of pars plana vitrectomy (PPV) combined with internal limiting membrane (ILM) stuffing technique in patients with optic disc pit associated maculopathy (ODP-M). Methods: Data including best-corrected visual acuity (BCVA), central macular thickness (CMT), foveal center point thickness (FCP), and maximum height of fluid (max_fluid) (intraretinal or subretinal) were collected from the medical records of the patients. Results: Six eyes of six patients with a mean age of 28.0 +/- 17.68 years (range: 9-53 year) underwent PPV + ILM plug surgery. The mean follow-up duration was 25.62 +/- 26.11 months (range: 11.80-78.00 month) duration. The mean BCVA increased from 1.25 +/- 1.04 logMAR (20/355, Snellen equivalent) to 0.86 +/- 1.09 logMAR (20/144, Snellen equivalent) at last follow-up (p = 0.043). Compared to baseline, CMT, FCP, and max_fluid significantly decreased at all visits after the surgery (p < 0.05 for all visits). At last follow-up, 66.6% of the eyes (four eyes) showed complete resolution of fluid at a mean of 5.25 +/- 4.99 months (range: 1-12 months) after the surgery. Conclusion: PPV with ILM plug seemed to be an effective surgical technique in ODP-M. Studies with longer follow-up and higher number of patients are needed to confirm our results.