scholarly journals Diagnostic and therapeutic approaches to optic disc pit maculopathy in children

2021 ◽  
Vol 2 (1) ◽  
pp. 24-35
Author(s):  
Dimitrios Kalogeropoulos ◽  
Ioannis Asproudis ◽  
Soon Wai Ch'ng ◽  
Arijit Mitra ◽  
Ash Sharma ◽  
...  
Keyword(s):  
Optic Disc ◽  
Current Knowledge ◽  
Pediatric Population ◽  
Serous Retinal Detachment ◽  
Optic Disc Pit ◽  
Therapeutic Approaches ◽  
Surgical Methods ◽  
Fourth Decade ◽  
Permanent Loss ◽  
Optic Disc Pit Maculopathy

Background: Optic disc pit (ODP) is a rare congenital defect of the optic disc that can lead to maculopathy and gradual visual impairment. This review summarizes our current knowledge on the diagnostic and therapeutic approaches to ODP maculopathy (ODP-M) in children. Methods: A thorough literature search was performed using the PubMed/MEDLINE database from 1960 to 2020. An additional search was conducted using Google Scholar for completeness. Results: ODP-M is characterized by the accumulation of subretinal and/or intraretinal fluid. The exact pathogenetic mechanisms are not fully understood, and the origin of the fluid remains unknown. Although ODP-M is more likely to occur during the third or fourth decade of life, cases of children with serous retinal detachment have been recorded. Early diagnosis of ODP-M and prompt, appropriate management are crucial, particularly in patients of amblyogenic age. In adults, ODP-M may resolve spontaneously, but most cases require surgical intervention to prevent permanent loss of vision. However, the fact that ODP-M may spontaneously resolve in children cannot be ignored. Various surgical methods have been described, including pars plana vitrectomy (PPV) combined with various techniques, including laser photocoagulation, intravitreal gas injection, and macular buckling. Conclusions: PPV remains the mainstay surgical approach for ODP-M. However, ODP-M may differ between children and adults. Children constitute a unique population of patients that require a different and probably more tailor-made approach. Detailed clinical examination, combined with a thorough analysis of retinal imaging, may improve our understanding of the background and pathophysiology of the disease and eventually provide us with new insights into the management of ODP-M in the pediatric population. How to cite this article: Kalogeropoulos D, Asproudis I,  Ch’ng SW, Mitra A, Sharma A, Katsikatsos K, Asproudis C, Kalogeropoulos C. Diagnostic and therapeutic approaches to optic disc pit maculopathy in children. Med Hypothesis Discov Innov Optom.2021 Spring; 2(1): 24-35. DOI: https://doi.org/10.51329/mehdioptometry122

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.

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

Resolution of optic disc pit–associated macular retinoschisis after topical carbonic anhydrase inhibitor treatment: Report of a case

2020 ◽  
pp. 112067212090466
Author(s):  
Ahmad Al-Moujahed ◽  
Natalia F Callaway ◽  
Daniel Vail ◽  
Cassie A Ludwig ◽  
Marco H Ji ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Optic Disc ◽  
Serous Retinal Detachment ◽  
Peripheral Retina ◽  
Optic Disc Pit ◽  
Fluid Accumulation ◽  
Macular Retinoschisis ◽  
Intraretinal Fluid ◽  
Central Subfield Thickness ◽  
Topical Dorzolamide

Background: Optic disc pits frequently lead to visual deterioration due to macular retinoschisis or serous retinal detachment. Here, we report a case of optic disc pit–associated macular retinoschisis due to intraretinal fluid accumulation that resolved with improvement in visual acuity after treatment with topical dorzolamide. Case description: A 56-year-old otherwise healthy female with no ocular history presented with 2 weeks of slowly worsening blurry vision in her right eye. Visual acuity was 20/30 in the right eye. Posterior segment examination revealed posterior vitreous detachment, an optic disc pit at 9 o’clock, macular edema and foveoschisis with fluid extending from the optic nerve, and a normal peripheral retina. Optical coherence tomography imaging of the macula showed central subfield thickness of 526 µm. The patient preferred no surgical intervention, so topical dorzolamide 2% three times daily was initiated. Over the next 2 years, the central subfield thickness steadily declined from 526 to 262 µm, and her vision improved to 20/20 with improvement in the macular retinoschisis. Conclusion: Our report presents a case of resolution of optic disc pit–associated macular retinoschisis due to intraretinal fluid accumulation with possible role for dorzolamide as a potential treatment option.

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

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.

Sign in / Sign up

Export Citation Format

Share Document