Acta Scientific Medical Sciences (ASMS)(ISSN: 2582-0931)

Research Article Volume 7 Issue 4

Efficiency of Laser Treatment of Optic Disc Pit Maculopathy in Children

Katargina LA, Denisova EV, Osipova NA* and Demchenko EN

Helmholtz National Medical Research Center of Eye Diseases, Moscow, Russia

*Corresponding Author: Osipova NA, Researcher of the Department of Eye Pathology of Children, Helmholtz National Medical Research Center of Eye Diseases, Moscow, Russia.

Received: February 21, 2023; Published: March 09, 2023

Abstract

Purpose: To analyze the anatomical and functional results of laser treatment of ODP-M in children.

Material and Methods: The object of the study was 17 children aged 5-16 years with an ODP-M. All children underwent barrier retinal laser coagulation (1-3 sessions): coagulants with a diameter of 200 microns of the 2nd degree were applied without gaps in 2-3 rows in the area of oedema and retinal detachment along the temporal edge of the optic disk from and to the adjacent retina. In addition to the standard ophthalmological examination, all children underwent optical coherence tomography (OCT) of the macula before and during the follow-up period ranged from 2 to 13 months.

Results: After barrier retinal laser coagulation, 10 children had a decrease in the elevation of the retina in the macular zone from 32 to 602 microns. According to OCT data, the "starting" value of the maximum elevation of the retina in the macula in this group averaged 525 ± 140 microns. Complete resorption of subretinal fluid was observed in 3 children for a period of 5 months to 1 year 3 months after the first laser coagulation. Best corrected visual acuity (BCVA) remained stable in 5 children, increased by 0.04-0.6 in 4 children, decreased by 0.1 in 1 child. There was no positive dynamics of resorption of subretinal and intraretinal fluid after barrier retinal laser coagulation in 7 children, and they underwent pars planum vitrectomy with gas tamponade. The "starting" value of the maximum elevation of the retina in the macula in this group averaged 811 ± 43 microns (p < 0.01).

Conclusion: The high efficiency of laser treatment of ODP-M in children with its certain quantitative parameters (maximum elevation of the retina in the macula is ≤525 microns) before treatment has been demonstrated.

Keywords: Optic Disc Pit; Macular Retinal Detachment; Retinal Barrier Laser Coagulation

References

  1. Georgalas I., et al. “Optic disc pit: a review”. Graefe's Archive for Clinical and Experimental Ophthalmology 8 (2011): 1113-1122.
  2. Chatziralli I., et al. “Optic disk pit maculopathy: current management strategies”. Clinical Ophthalmology8 (2018): 1417-1422.
  3. Tawara A., et al. “A classic temporal optic disc pit showing progression in the corresponding optic nerve fiber and visual field defects”. Japanese Journal of Ophthalmology3 (2013): 263-267.
  4. Shah SD., et al. “Optic disc pit maculopathy: a review and update on imaging and treatment”. International Ophthalmology Clinics 2 (2014): 61-78.
  5. Theodossiadis G. “Evolution of congenital pit of the optic disk with macular detachment in photocoagulated and nonphotocoagulated eyes”. American Journal of Ophthalmology5 (1977): 620-631.
  6. Theodossiadis GP., et al. “Cyst formation in optic disc pit maculopathy”. Documenta Ophthalmologica 3-4 (1999): 329-335.
  7. Sugar HS. “An explanation for the acquired macular pathology associated with congenital pits of the optic disc”. American Journal of Ophthalmology 57 (1964): 833-835.
  8. Irvine AR., et al. “The pathogenesis of retinal detachment with morning glory disc and optic pit”. Retina 3 (1986): 146-150.
  9. Jain N and Johnson MW. “Pathogenesis and treatment of maculopathy associated with cavitary optic disc anomalies”. American Journal of Ophthalmology3 (2014): 423-435.
  10. Ohno-Matsui K., et al. “Evaluation of congenital optic disc pits and optic disc colobomas by swept-source optical coherence tomography”. Investigative Ophthalmology and Visual Science 54 (2013): 7769-7778.
  11. Irvine AR., et al. “The pathogenesis of retinal detachment with morning glory disc and optic pit”. Retina 6 (1986): 146-150.
  12. Kuhn F., et al. “Intracranial migration of silicone oil from an eye with optic pit”. Graefe's Archive for Clinical and Experimental Ophthalmology 244 (2006): 1360-1362.
  13. Sadun AA and Khaderi KH. “Optic disc anomalies, pits, and associated serous macular detachment”. In: Ryan S.J., Schachat A.P., Wilkinson C.P., Hinton D.R., Sadda S.R., Wiedemann P., editors. Retina. 5. UK: Elsevier Health Sciences (2013): 1583-1588.
  14. Bonnet M. “Serous macular detachment associated with optic nerve pits”. Graefe's Archive for Clinical and Experimental Ophthalmology 229 (1991): 526-532.
  15. Moisseiev E., et al. “Optic disc pit maculopathy: when and how to treat? A review of the pathogenesis and treatment options”. International Journal of Retina and Vitreous 1 (2015): 13.
  16. Pastor-Idoate S., et al. “Surgical Options for Optic Disc Pit Maculopathy: Perspectives and Controversies”. Clinical Ophthalmology 14 (2020): 1601-1608.
  17. Yuen CHW and Kaye SB. “Spontaneous resolution of serous maculopathy associated with optic disc pit in a child: a case report”. Journal of AAPOS5 (2002): 330-331.
  18. Bayar SA., et al. “Spontaneous regression of optic disc pit maculopathy in a six-year-old child”. Turkish Journal of Ophthalmology1 (2017): 56-58.

Citation

Citation: Osipova NA., et al. “Efficiency of Laser Treatment of Optic Disc Pit Maculopathy in Children”.Acta Scientific Medical Sciences 7.4 (2023): 63-67.

Copyright

Copyright: © 2022 Osipova NA., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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