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Open Access 01.08.2020 | Original Paper

Surgical outcomes in patients with optic disc pit maculopathy: does peeling the ILM lead to better outcomes?

verfasst von: Helena Wagner, Amelie Pielen, Hansjürgen Agostini, Daniel Böhringer, Wolf Alexander Lagrèze, Julia Biermann

Erschienen in: International Ophthalmology | Ausgabe 12/2020

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Abstract

Purpose

Optic disc pits (ODPs) are rare congenital anomalies. Several patients develop optic disc pit maculopathy (ODP-M): visual impairment caused by intra- and/or subretinal fluid. Treatment mode remains controversial. This study was designed to investigate the effectiveness of pars plana vitrectomy (PPV) and gas tamponade with or without internal limiting membrane (ILM)-peeling in improving visual acuity and reducing subretinal fluid in ODP-M patients.

Methods

We retrospectively reviewed the charts of 16 patients who underwent surgery for ODP-M from 2002–2015. Six patients underwent PPV with gas tamponade (group 1); ten patients additionally received ILM-peeling (group 2). Pre- and postoperative visual acuity and central retinal thickness (CRT) were compared between groups, as well as retinal morphology and the number of secondary vitrectomies and complications.

Results

Median visual acuity improved by 2 ETDRS lines in both groups (p = 0.713, Mann–Whitney U test). Median CRT decreased by 426.5 µm and 460 µm (p = 0.931). One patient in group 1 underwent repeat vitrectomy for persistent retinoschisis. Three patients in group 2 required repeat vitrectomy: two to treat a macular hole, one for peripheral retinal holes with retinal detachment.

Conclusion

In our cohort, PPV with gas tamponade proved to be an effective first-line treatment for ODP-M. Additional ILM-peeling did not give a significant benefit in this study.

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Titel: Surgical outcomes in patients with optic disc pit maculopathy: does peeling the ILM lead to better outcomes?
verfasst von: Helena Wagner
Amelie Pielen
Hansjürgen Agostini
Daniel Böhringer
Wolf Alexander Lagrèze
Julia Biermann
Publikationsdatum: 01.08.2020
Verlag: Springer Netherlands
Erschienen in: International Ophthalmology / Ausgabe 12/2020
Print ISSN: 0165-5701
Elektronische ISSN: 1573-2630
DOI: https://doi.org/10.1007/s10792-020-01524-z

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Surgical outcomes in patients with optic disc pit maculopathy: does peeling the ILM lead to better outcomes?

Abstract

Purpose

Methods

Results

Conclusion

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