Acta Scientific Ophthalmology (ISSN: 2582-3191)

Case Report Volume 5 Issue 4

The Pit Stuff: Surgical Management of Optic Disc Pit Maculopathy with Autologous Free ILM Flap

Anju Gupta, Shams Tabrez and Dhaivat Shah*

Head of department of Vitreoretina , Choithram Netralaya, Indore, India

*Corresponding Author: Dhaivat Shah, Head of department of Vitreoretina , Choithram Netralaya, Indore, India.

Received: February 28, 2022; Published: March 17, 2022

Abstract

Optic disc pit (ODP) is a rare congenital abnormality described under congenital cavitary anomalies of the optic disc which may be accompanied by serous macular detachment with the development of schisis leading to gradual loss of vision. Several invasive and non-invasive methods have been identified in literature with several different modifications including laser photocoagulation, intravitreal gas injection and pars plana vitrectomy with internal limiting membrane (ILM) peeling. The report describes a 42 year old man with a unilateral optic disc pit consistent with serous macular detachment in the left eye which was successfully treated with vitrectomy, ILM peeling and stuffing the autologous free flap into the pit.

Keywords: Congenital Anomaly; Maculopathy; Optic Disc Pit; ILM Peeling; Autologous Free ILM Flap

References

  1. Wiethe T. “A case of congenital deformity of the optic disc”. Arch Augenheilkd 11 (1882): 14-19.
  2. Jain N and Johnson MW. “Pathogenesis and treatment of maculopathy associated with cavitary optic disc anomalies”. American Journal of Ophthalmology 158 (2014): 423-435.
  3. Theodossiadis GP., et al. “Long-term study of patients with congenital pit of the optic nerve and persistent macular detachment”. Acta Ophthalmology 70 (1992): 495-505.
  4. Ferry AP. “Macular detachment associated with congenital pit of the optic nerve head. Pathologic findings in two cases simulating malignant melanoma of the choroid”. Archives of Ophthalmology 70 (1963): 346-357.
  5. Kranenburg EW. “Crater-like holes in the optic disc and central serous retinopathy”. Archives of Ophthalmology 64 (1960): 912-924.
  6. Brown GC., et al. “Congenital pits of the optic nerve head. II. Clinical studies in humans”. Ophthalmology 87 (1980): 51-65.
  7. Shah SD., et al. “Optic disc pit maculopathy: a review and update on imaging and treatment”. International Ophthalmology Clinics Spring2 (2014): 61-78.
  8. Gordon R and Chatfield RK. “Pits in the optic disc associated with macular degeneration”. British Journal of Ophthalmology 53 (1969): 481-489.
  9. Sobol WM., et al. “Long-term visual outcome in patients with optic nerve pit and serous retinal detachment of the macula”. Ophthalmology11 (1990): 1539-1542.
  10. Avci R., et al. “Long-term outcomes of pars plana vitrectomy without internal limiting membrane peeling for optic disc pit maculopathy”. Eye (Lond)12 (2013): 1359-1367.

Citation

Citation: Dhaivat Shah., et al. “The Pit Stuff: Surgical Management of Optic Disc Pit Maculopathy with Autologous Free ILM Flap".Acta Scientific Ophthalmology 5.4 (2022): 44-46.

Copyright

Copyright: © 2022 Dhaivat Shah., 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.




Metrics

Acceptance rate35%
Acceptance to publication20-30 days
ISI- IF1.042
JCR- IF0.24

Indexed In




News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is December 25, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue"

Contact US