Abstract
Purpose: To report the successful surgical outcome of two patients with a serous macular detachment and cystoid macular edema associated with a congenital optic nerve pit. Method: Case reports. Two patients with a serous macular detachment associated with a congenital optic nerve pit were treated with 360° peripapillary endophotocoagulation during vitrectomy, attempted internal subretinal fluid drainage, and fluid–gas exchange. Results: In both cases, the retina remained attached during a follow-up period of 6 months, and the patient’s vision improved dramatically. One patient improved from the counting finger level to 20/70, and the other improved from 20/200 to 20/70. Conclusion: The use of 360° peripapillary endophotocoagulation after pars plana vitrectomy for the treatment of optic nerve pit associated retinal detachment resulted in excellent visual acuity and anatomic reattachment. Attempted internal subretinal fluid drainage was unsuccessful and did not contribute to the success of the case.
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References
GC Brown MM Brown (1995) ArticleTitleRepair of retinal detachment associated with congenital excavated defects of the optic disc. Ophthalmic Surg 26 IssueID1 11–15
B Billi G Lesnoni M Giuliano T Rossi M Stirpe (1996) ArticleTitlePost-traumatic macular break associated to congenital optic disc pit and pre-existing sensory macular detachment. Int Ophthalmol 20 IssueID5 269–272
BK Rutledge CA Puliafito JS Duker MR Hee MS Cox (1996) ArticleTitleOptical coherence tomography of macular lesions associated with optic nerve head pits. Ophthalmology 103 IssueID7 1047–1053 Occurrence Handle1:STN:280:BymA3cbjs1c%3D Occurrence Handle8684793
M Bonnet (1991) ArticleTitleSerous macular detachment associated with optic nerve pits. Graefes Arch Clin Exp Ophthalmol 229 IssueID6 526–532
EA Postel JS Pulido JA McNamara MW Johnson (1998) ArticleTitleThe etiology and treatment of macular detachment associated with optic nerve pits and related anomalies. Trans Am Ophthalmol Soc 96 73–88
RJ Brockhurst (1976) ArticleTitleOptic pits and posterior retinal detachment. Trans Am Ophthalmol Soc 73 264–291
W Annesley G Brown J Bolling R Goldberg D Fischer (1987) ArticleTitleTreatment of retinal detachment with congenital optic pit by krypton laser photocoagulation. Graefes Arch Clin Exp Ophthalmol 225 IssueID5 311–314
H Lincoff R Lopez I Kreissig L Yannuzzi M Cox T Burton (1988) ArticleTitleRetinoschisis associated with optic nerve pits. Arch Ophthalmol 106 IssueID1 61–67 Occurrence Handle1:STN:280:BieC3cngvFY%3D Occurrence Handle3337708
H Schatz HR McDonald (1988) ArticleTitleTreatment of sensory retinal detachment associated with optic nerve pit or coloboma. Ophthalmology 95 IssueID2 178–186
MS Cox CD Witherspoon RE Morris HW Flynn (1988) ArticleTitleEvolving techniques in the treatment of macular detachment caused by optic nerve pits. Ophthalmology 95 IssueID7 889–896
MP Snead N James PM Jacobs (1991) ArticleTitleVitrectomy, argon laser, and gas tamponade for serous retinal detachment associated with an optic disc pit: a case report. Br J Ophthalmol 75 IssueID6 381–382
KJ Lee GA Peyman (1993) ArticleTitleSurgical management of retinal detachment associated with optic nerve pit. Int Ophthalmol 17 IssueID2 105–107
WM Sobol CF Blodi JC Folk TA Weingeist (1990) ArticleTitleLong-term visual outcome in patients with optic nerve pit and serous retinal detachment of the macula. Ophthalmology 97 IssueID11 1539–1542
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Bakri, S.J., Beer, P.M. Vitreoretinal surgery for optic pit associated serous macular detachment: a discussion of two cases. Int Ophthalmol 25, 143–146 (2004). https://doi.org/10.1007/s10792-004-5197-0
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DOI: https://doi.org/10.1007/s10792-004-5197-0