2Professor of Ophthalmology, Ulucanlar Eye Research Hospital, Ankara, Turkey DOI : 10.37845/ret.vit.2022.31.61 Purpose: To evaluate the clinical outcomes of pars plana vitrectomy (PPV), endolaser and C3F8 tamponade for the treatment of optic disc pit maculopathy (ODP-M).
Materials and Methods: Thirteen eyes of twelve patients with serous macular detachment and/or macular retinoschisis associated with optic disc pit were included in this study. Preoperative and postoperative best-corrected visual acuity (BCVA) was recorded and optical coherence tomography (OCT) imaging was performed. All eyes underwent PPV, posterior hyaloid removal, endolaser photocoagulation on the temporal edge of optic disc and perfluoropropane (C3F8) gas tamponade . Anatomic success and functional outcomes determined retrospectively by OCT and BCVA.
Results: There were 9 male and 3 female patients in this study and the average age of patients was 24.8 years. Visual acuity improved in 12 of 13 eyes and nine eyes gained 3 or more lines. There was significant difference in the postoperative visual acuity (p=.004). Subretinal or intraretinal fluid was completely resorbed in all patients from the17th to the 27th postoperative month.
Conclusion: Our outcomes show PPV, posterior hyaloid removal, endolaser photocoagulation and C3F8 gas tamponade appears to be an effective treatment for optic pit-associated maculopathy .
Keywords : Optic disc pit, Serous macular detachment, Pars plana vitrectomy, Gas tamponade