Optic disc pit maculopathy: a review of diagnosis and treatment

2019 ◽  
Vol 103 (4) ◽  
pp. 425-429 ◽  
Author(s):  
Ran Wan ◽  
Andrew Chang
Keyword(s):  
Optic Disc ◽  
Diagnosis And Treatment ◽  
Optic Disc Pit ◽  
Optic Disc Pit Maculopathy

Resolution of Optic Disc Pit Maculopathy Following Posterior Vitreous Detachment

2021 ◽  
pp. 247412642110467
Author(s):  
Ali H. Mannaa ◽  
Reda A. Issa ◽  
J. Shepard Bryan
Keyword(s):  
Optic Disc ◽  
Posterior Vitreous Detachment ◽  
Interesting Case ◽  
Optic Disc Pit ◽  
Review Of The Literature ◽  
Fluid Accumulation ◽  
Optic Pit ◽  
Vitreous Detachment ◽  
Spontaneous Improvement ◽  
Optic Disc Pit Maculopathy

Purpose: This work presents a case of significant improvement of optic pit disc maculopathy following an acute posterior vitreous detachment (PVD) and discusses the possible mechanisms of this phenomenon. Methods: A case report and review of the literature are presented. Results: A 56-year-old man presenting with progressive visual decline in his left eye was found to have an optic disc pit with optical coherence tomography (OCT) evidence of severe intraretinal edema and maculoschisis. His visual acuity and macular anatomy on OCT improved dramatically in the months following a PVD. Conclusions: This report presents an interesting case of spontaneous improvement of optic disc pit–related maculopathy following PVD. We discuss the cause of the retinal fluid accumulation in optic disc pit maculopathy and consider that the OCT findings in our case lend credence to the theory that this fluid originates from the vitreous humor.

scholarly journals Blast injury-associated optic disc pit maculopathy

2007 ◽  
Vol 91 (4) ◽  
pp. 558-558 ◽  
Author(s):  
M. H Colyer ◽  
E. D Weichel ◽  
T. P Ward
Keyword(s):  
Optic Disc ◽  
Blast Injury ◽  
Optic Disc Pit ◽  
Optic Disc Pit Maculopathy

Clinicopathologic Correlation of the Optic Pit Glial Plug in Optic Disc Pit Maculopathy

2018 ◽  
Vol 49 (12) ◽  
pp. e287-e291
Author(s):  
Nicolas A. Yannuzzi ◽  
Xiao Yi Zhou ◽  
Pedro Monsalve ◽  
Sander R. Dubovy ◽  
William E. Smiddy
Keyword(s):  
Optic Disc ◽  
Optic Disc Pit ◽  
Optic Pit ◽  
Clinicopathologic Correlation ◽  
Optic Disc Pit Maculopathy

scholarly journals Double-Vitrectomy for Optic Disc Pit Maculopathy

2012 ◽  
Vol 3 (2) ◽  
pp. 156-161 ◽  
Author(s):  
Francesco Pichi ◽  
Mariachiara Morara ◽  
Chiara Veronese ◽  
Andrea Lembo ◽  
Lucia Vitale ◽  
...  
Keyword(s):  
Optic Disc ◽  
Optic Disc Pit ◽  
Optic Disc Pit Maculopathy

scholarly journals Macular Structure Recovery after Surgery for Optic Disc Pit Maculopathy

2019 ◽  
Vol 10 (3) ◽  
pp. 408-414
Author(s):  
Yuri Nishiyama ◽  
Yuji Yoshikawa ◽  
Masayuki Shibuya ◽  
Junji Kanno ◽  
Kimitake Ozaki ◽  
...  
Keyword(s):  
Optic Disc ◽  
Outer Layer ◽  
Sulfur Hexafluoride ◽  
Structural Changes ◽  
Present Report ◽  
Serous Retinal Detachment ◽  
Posterior Vitreous Detachment ◽  
Recovery Process ◽  
Optic Disc Pit ◽  
Optic Disc Pit Maculopathy

The present report aimed to describe the macular structure’s recovery process in a case of optic disc pit maculopathy (ODP-M) with outer layer hole following pars plana vitrectomy (PPV) with juxtapapillary laser treatment (JPL). We performed repeated optical coherence tomography (OCT) examinations to evaluate the macular structural changes. An 80-year-old man presented with distorted vision and decreased visual acuity (VA) in his left eye, experienced for 1 year, prior to presentation. Fundus examination and OCT showed intraretinal fluid (IRF) in the inner and outer retinal layers. Serous retinal detachment (SRD) with an outer layer hole in the macula was also evident. The IRF was connected to the optic disc; however, the SRD was isolated. Best-corrected VA was 20/100. PPV combined with JPL was performed. Posterior vitreous detachment creation and tamponade with sulfur hexafluoride was performed. Postoperatively, the inner retinal IRF at the fovea disappeared. The outer layer hole gradually closed and had completely disappeared 1 month postoperatively. After resolution of the outer layer hole, SRD reduced gradually and disappeared 8 months postoperatively, although the macular outer retinal IRF remained. The outer retinal IRF had partially resolved by the 18th postoperative month. Macular structure was completely recovered 31 months postoperatively, with an improved VA of 20/20. In conclusion, SRD might be associated with outer retinal IRF and outer layer holes. In cases of ODP-M, outer layer holes might induce optic disc-isolated SRD.

Dense laser at the papillomacular bundle does not cause loss of visual function

2020 ◽  
pp. 112067212096345
Author(s):  
Edward Bloch ◽  
Lyndon da Cruz
Keyword(s):  
Nerve Fiber ◽  
Optic Disc ◽  
Visual Function ◽  
Perceived Risk ◽  
Structural Damage ◽  
Optic Disc Pit ◽  
Fiber Layer ◽  
Nerve Fiber Layer ◽  
Optic Disc Pit Maculopathy ◽  
Papillomacular Bundle

Introduction: Juxtapapillary laser (JPL) photocoagulation in the region of the papillomacular bundle, temporal to the optic nerve, has become routine care in disorders such as optic disc pit maculopathy. Despite evidence demonstrating safe and effective use of this approach, there is still a lack of consensus in the literature, due to the perceived risk of loss of visual function. Instances of such misplaced caution could result in inadequate treatment protocols. Methods: An observational series of five cases of optic disc pit maculopathy, treated with dense temporal juxtapapillary endolaser, in a single tertiary ophthalmic hospital. Results: None of the reported cases of optic disc pit maculopathy treated with dense juxtapapillary laser demonstrated anatomical or perimetric findings consistent with nerve fiber layer damage in the region of the papillomacular bundle. Conclusions: This series demonstrates that dense laser photocoagulation, in the vicinity of the papillomacular bundle, does not cause structural damage to the nerve fiber layer or associated loss of visual function in optic disc pit maculopathy. Appropriate application of juxtapapillary laser is a safe and effective treatment for various macular pathologies.

Optic Disc Pit Maculopathy: New Perspectives on the Natural History

2019 ◽  
Vol 207 ◽  
pp. 159-169 ◽  
Author(s):  
Edward Bloch ◽  
Odysseas Georgiadis ◽  
Marko Lukic ◽  
Lyndon da Cruz
Keyword(s):  
Natural History ◽  
Optic Disc ◽  
Optic Disc Pit ◽  
Optic Disc Pit Maculopathy

scholarly journals A Conservative Surgical Approach to the Treatment of Optic Disc Pit Maculopathy: Four Case Reports

2020 ◽  
Vol 11 (2) ◽  
pp. 196-204
Author(s):  
Emilio Rapizzi ◽  
Paola Gallon ◽  
Diego Ponzin ◽  
Stefano Ferrari ◽  
Nicola Zemella
Keyword(s):  
Optic Disc ◽  
Case Reports ◽  
Posterior Vitreous Detachment ◽  
Subretinal Fluid ◽  
Internal Limiting Membrane ◽  
Conservative Approach ◽  
Optic Disc Pit ◽  
Surgical Interventions ◽  
Optic Disc Pit Maculopathy ◽  
Intravitreal Gas

The purpose of this report is to present the outcomes of surgical interventions in 4 patients with maculopathy associated with optic disc pit (ODP). We report 4 cases of patients affected by ODP maculopathy and treated by core vitrectomy with induction of posterior vitreous detachment and peeling of the internal limiting membrane restricted to the interpapillary macular zone without laser treatment and gas tamponade. The patients had rapid resolution of the multilayer inner retinoschisis-like separation and progressive slow reabsorption of the macular intraretinal and subretinal fluid up to complete retinal reattachment. Currently, there are still no widely accepted guidelines related to the best technique in the management of the maculopathy associated with ODP. We used a conservative approach, without the adoption of intravitreal gas injection or laser.

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