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Optical coherence tomography findings and retinal changes after vitrectomy for optic disc pit maculopathy
- Source :
- Indian Journal of Ophthalmology, Vol 62, Iss 3, Pp 287-290 (2014), Indian Journal of Ophthalmology
- Publication Year :
- 2014
- Publisher :
- Wolters Kluwer Medknow Publications, 2014.
-
Abstract
- Purpose : To study the optical coherence tomography (OCT) patterns in optic disc pit maculopathy and retinal changes after vitreous surgery. Materials and Methods : Retrospective review of consecutive cases with optic disc pit maculopathy seen at two tertiary eye institutes from January 2005 to June 2009. Results : Twenty-four eyes of 23 patients are included. The presenting visual acuity ranged from 20/400 to 20/20 (median:20/80). The median age at presentation was 24 years (range, 6-57 years). Optical coherence tomography demonstrated a combination of retinoschisis and outer layer detachment (OLD) in 19 (79.17%) eyes, OLD only in 3 (12.5%) eyes and retinoschisis only in 2 (8.33%) eyes. An obvious communication (outer layer hole) between the schisis and OLD was seen in 14 (73.68%) of the 19 eyes with both features. Of the 21 eyes with retinoschisis, schisis was present in multiple layers in 15 (71.43%) and single layer in 6 (28.57%) eyes. Eleven eyes underwent pars plana vitrectomy including creation of posterior vitreous detachment (PVD), fluid-air exchange, low intensity laser photocoagulation at the temporal edge of the optic disc pit and non-expansile perfluoropropane gas (14%) injection. Five (45.45%) of 11 eyes undergoing vitrectomy had complete resolution and 4 (36.36%) eyes had partial resolution of maculopathy. Visual acuity improved in 8 (72.72%) of 11 eyes. Conclusion : Optical coherence tomography demonstrates multiple layer schisis and outer layer detachment as main features of optic disc pit maculopathy. Vitrectomy with PVD induction, laser photocoagulation and gas tamponade results in anatomical and visual improvement in most cases with optic disc pit maculopathy.
- Subjects :
- Male
Visual acuity
genetic structures
medicine.medical_treatment
retinoschisis
Optic disk
Retinoschisis
Vitrectomy
retinal sensitivity
lcsh:Ophthalmology
Medicine
Eye Abnormalities
Postoperative Period
diplopia
Child
orbit
fixation
sutureless manual small-incision cataract surgery
Retinal detachment
wound construction
Central retinal vein occlusion
microperimeter
subconjunctival incision
Middle Aged
normative data
Treatment Outcome
medicine.anatomical_structure
optic disc pit
Original Article
Female
medicine.symptom
Tomography, Optical Coherence
optic neuritis treatment trial
Optic disc
Adult
Indian population
medicine.medical_specialty
Adolescent
Optic Disk
Clinical profile
Posterior vitreous detachment
Retina
thyroid exophthalmos
intravitrealbevacizumab
Young Adult
retinal detachment
Ophthalmology
Humans
Contrast sensitivity
Retrospective Studies
optic neuritis
thyroid ophthalmopathy
macular edema
Optical coherence tomography
business.industry
Reproducibility of Results
medicine.disease
Decompression of the orbit
eye diseases
lcsh:RE1-994
Maculopathy
Limbus incision
sense organs
business
intravitrealtriamcinolone acetonide
Follow-Up Studies
Subjects
Details
- Language :
- English
- ISSN :
- 19983689 and 03014738
- Volume :
- 62
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- Indian Journal of Ophthalmology
- Accession number :
- edsair.doi.dedup.....295bb1f1c102570cdb66aa89c1538ec8