Analysis of pars plana vitrectomy for optic pit-related maculopathy with intraoperative optical coherence tomography: a possible connection with the vitreous cavity.

Optimal management of optic pit-related maculopathy remains to be determined. The fluid source for the maculopathy also remains controversial. In this article, we present a unique surgical technique for internal drainage of the intraretinal fluid and describe the intraoperative use of spectral-domain optical coherence tomography to assist in the surgical management of this condition. Pars plana vitrectomy was performed with elevation of the posterior hyaloid. Following an air-fluid exchange, aspiration over the optic nerve pit was performed. Following aspiration, intraoperative spectral-domain optical coherence tomography demonstrated collapse of the retinoschisis, strongly suggesting a connection between the vitreous cavity and the intraretinal fluid.

[1]  J. Gass,et al.  Serous detachment of the macula. Secondary to congenital pit of the optic nervehead. , 1969, American journal of ophthalmology.

[2]  Sina Farsiu,et al.  Insights into advanced retinopathy of prematurity using handheld spectral domain optical coherence tomography imaging. , 2009, Ophthalmology.

[3]  Michael D. Ober,et al.  Surgical hypothesis: inner retinal fenestration as a treatment for optic disc pit maculopathy. , 2006, Retina.

[4]  G. Brown,et al.  Congenital pits of the optic nerve head. I. Experimental studies in collie dogs. , 1979, Archives of ophthalmology.

[5]  P. Theodossiadis,et al.  Vitreous findings in optic disc pit maculopathy based on optical coherence tomography , 2007, Graefe's Archive for Clinical and Experimental Ophthalmology.

[6]  J. Duker,et al.  Optical coherence tomography of macular lesions associated with optic nerve head pits. , 1996, Ophthalmology.

[7]  D. Snead,et al.  Intraocular surgery for optic nerve disorders , 2004, Eye.

[8]  E. Postel,et al.  The etiology and treatment of macular detachment associated with optic nerve pits and related anomalies. , 1998, Transactions of the American Ophthalmological Society.

[9]  A. Yoshida,et al.  OCT in successful surgery of retinal detachment associated with optic nerve head pit. , 2000, Ophthalmic surgery and lasers.

[10]  Sina Farsiu,et al.  INTRAOPERATIVE USE OF HANDHELD SPECTRAL DOMAIN OPTICAL COHERENCE TOMOGRAPHY IMAGING IN MACULAR SURGERY , 2009, Retina.

[11]  K. Ziahosseini,et al.  Successful surgical treatment of optic disc pit maculopathy , 2009, Eye.

[12]  G. Brown,et al.  Treatment of retinal detachment with congenital optic pit by krypton laser photocoagulation , 2005, Graefe's Archive for Clinical and Experimental Ophthalmology.