Sage Journals: Discover world-class research

Abstract

Purpose:

To present a clinical case and surgical technique for management of optic disk pit (ODP) maculopathy.

Methods:

Surgical technique video of lens sparring pars plana vitrectomy, autologous scleral flap insertion and gas tamponade.

Results:

After 1 year follow-up visual acuity was restored to 20/25, retinal serous detachment and schisis were resolved and the autologous scleral flap remained in the (ODP).

Conclusion:

In this case, treatment with pars plana vitrectomy autologous scleral flap insertion and gas tamponade for optic pit maculopathy provided satisfactory anatomical and functional results.

Keywords

Optic disk pit maculopathy autologous scleral flap swept source optical coherence tomography retinal detachment vitreoretinal surgery

Get full access to this article

View all access options for this article.

References

Greear

JN.

Pits, or crater-like holes in the optic disk. Arch Ophthalmol 1942; 28: 467–483.

Ferry

AP.

Macular detachment associated with congenital pit of the optic nerve head. Pathologic findings in two cases simulating malignant melanoma of the choroid. Arch Ophthalmol 1963; 70: 346–357.

Wiethe

Ein Fall von angeborener Deformitat der Sehnervenpapille. Arch Augenheilkd 1881; 11: 4–19.

Brown

Shields

Goldberg

. Congenital pits of the optic nerve head. II. Clinical studies in humans. Ophthalmology 1980; 87(1): 51–65.

Jain

Johnson

MW.

Pathogenesis and treatment of maculopathy associated with cavitary optic disc anomalies. Am J Ophthalmol 2014; 158: 423–435.

Kranenburg

EW.

Crater-like holes in the optic disc and central serous retinopathy. Arch Ophthalmol 1960; 64(6): 912–924.

Georgalas

Ladas

Georgopoulos

, et al. Optic disc pit: a review. Graefes Arch Clin Exp Ophthalmol 2011; 249: 1113–1122.

Brodsky

MC.

Congenital optic disk anomalies. Surv Ophthalmol 1994; 39(2): 89–112.

Bonnet

Serous macular detachment associated with optic nerve pits. Graefes Arch Clin Exp Ophthalmol 1991; 229: 526–532.

10.

Brockhurst

RJ.

Optic pits and posterior retinal detachment. Trans Am Ophthalmol Soc 1975; 73: 264–291.

11.

Apple

Rabb

Walsh

PM.

Congenital anomalies of the optic disc. Surv Ophthalmol 1982; 27(1): 3–41.

12.

Moisseiev

Loewenstein

Optic disc pit maculopathy: when and how to treat? A review of the pathogenesis and treatment options. Int J Retina Vitr 2015; 1(1): 13.

13.

Ozdek

Ozdemir

HB.

A new technique with autologous fibrin for the treatment of persistent optic pit maculopathy. Retin Cases Brief Rep 2017; 11(1): 75–78.

14.

Shukla

Leila

Surgical management of optic pit maculopathy: controversies and caveats. Expert Rev Ophthalmol 2017; 12(1): 3–9.

15.

Krivoy

Gentile

Liebmann

, et al. Imaging congenital optic disc pits and associated maculopathy using optical coherence tomography. Arch Ophthalmol 1996; 114(2): 165–170.

16.

Rutledge

Puliafito

Duker

, et al. Optical coherence tomography of macular lesions associated with optic nerve head pits. Ophthalmology 1996; 103(7): 1047–1053.

17.

Gass

JD.

Serous detachment of the macula. Secondary to congenital pit of the optic nervehead. Am J Ophthalmol 1969; 67(6): 821–841.

18.

Johnson

MW.

Pathogenic implications of subretinal gas migration through pits and atypical colobomas of the optic nerve. Arch Ophthalmol 2004; 122(12): 1793–1800.

19.

Lincoff

Lopez

Kreissig

, et al. Retinoschisis associated with optic nerve pits. Arch Ophthalmol 1988; 106(1): 61–67.

20.

Schatz

McDonald

HR.

Treatment of sensory retinal detachment associated with optic nerve pit or coloboma. Ophthalmology 1988; 95(2): 178–186.

21.

Travassos

Regadas

Alfaiate

, et al. Optic pit: novel surgical management of complicated cases. Retina 2013; 33(8): 1708–1714.

Supplementary Material

Please find the following supplemental material available below.

For Open Access articles published under a Creative Commons License, all supplemental material carries the same license as the article it is associated with.

For non-Open Access articles published, all supplemental material carries a non-exclusive license, and permission requests for re-use of supplemental material or any part of supplemental material shall be sent directly to the copyright owner as specified in the copyright notice associated with the article.

0.00 MB

Surgical technique: Autologous scleral flap for optic disk pit maculopathy