Efficacy of Internal Limiting Membrane Flap Techniques with Vitrectomy for Macular Detachment Associated with an Optic Disc Pit

2019 ◽  
Vol 242 (1) ◽  
pp. 38-48 ◽  
Author(s):  
Salvador Pastor-Idoate ◽  
María Gómez-Resa ◽  
Sarah Karam ◽  
Sergio Copete ◽  
Danai Kyriakou ◽  
...  
Keyword(s):  
Optic Disc ◽  
Internal Limiting Membrane ◽  
Optic Disc Pit ◽  
Macular Detachment

scholarly journals Refined Internal Limiting Membrane Inverted Flap Technique for Intractable Macular Detachment with Optic Disc Pit

2017 ◽  
Vol 8 (1) ◽  
pp. 208-213 ◽  
Author(s):  
Rumiko Hara ◽  
Yasutomo Tsukahara ◽  
Tsuyoshi Simoyama ◽  
Soutarou Mori
Keyword(s):  
Optic Disc ◽  
Subretinal Fluid ◽  
Internal Limiting Membrane ◽  
Vitreous Cavity ◽  
Subretinal Space ◽  
Optic Disc Pit ◽  
Case Presentation ◽  
Macular Detachment ◽  
Space Case ◽  
The Right

Purpose: To report a surgical technique for retinal detachment associated with optic disc pit (ODP) by using an internal limiting membrane (ILM) inverted flap as an obstacle between the vitreous cavity and subretinal space. Case Presentation: A 43-year-old man presented with decreased visual acuity in the right eye for 1 week due to macular detachment associated with ODP. After 2 unsuccessful surgeries, the retina was reattached by vitrectomy with an ILM inverted flap onto the ODP. Conclusion: Covering the pit with an inverted ILM flap is a reliable method for intercepting fluid from the vitreous cavity. Immediate absorption of subretinal fluid may lead to early macular attachment. This technique would be effective in managing ODP.

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

2021 ◽  
pp. 112067212110237
Author(s):  
Ilkay Kilic Muftuoglu ◽  
Ecem Onder Tokuc ◽  
V Levent Karabas
Keyword(s):  
Optic Disc ◽  
Case Series ◽  
Internal Limiting Membrane ◽  
Maximum Height ◽  
Optic Disc Pit ◽  
Tertiary Referral Center ◽  
Number Of Patients ◽  
The Mean ◽  
Foveal Center

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.

Significant visual improvement after spontaneous resolution of longstanding macular detachment due to optic disc pit

2014 ◽  
Vol 92 ◽  
pp. 0-0
Author(s):  
E PARIKAKIS ◽  
I CHATZIRALLI ◽  
E STRATOS ◽  
V PEPONIS ◽  
D KARAGIANNIS ◽  
...  
Keyword(s):  
Optic Disc ◽  
Spontaneous Resolution ◽  
Optic Disc Pit ◽  
Macular Detachment ◽  
Visual Improvement

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.

Optic Disc Pit Maculopathy after Prone Positioning Spine Surgery

2017 ◽  
Vol 27 (5) ◽  
pp. e144-e146
Author(s):  
Marcos Ruiz-Sánchez ◽  
Maria E. Rodríguez-González-Herrero ◽  
Jenifer Ruiz-Sará
Keyword(s):  
Optic Disc ◽  
Prone Position ◽  
Spine Surgery ◽  
Patient Positioning ◽  
Internal Limiting Membrane ◽  
Prone Positioning ◽  
Optic Disc Pit ◽  
Visual Acuity Loss ◽  
Optic Disc Pit Maculopathy

Purpose To report a case of optic disc pit maculopathy after spine surgery performed in the prone position. Methods Case report. Results A 32-year-old man underwent spine surgery for disc herniation repair. He complained of visual acuity loss immediately after the procedure. Optic disc maculopathy with internal limiting membrane detachment was found to be the cause. Vitrectomy was scheduled after a 12-month follow-up without resolution of the maculopathy. Conclusions Optic disc maculopathy has not previously been associated with nonocular surgery or patient positioning. Physiologic changes induced by the prone position likely altered the pressure gradient in the eye and led to the development of the maculopathy.

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