Agostino Salvatore Vaiano, Antonio Greco and Andrea Greco*

Institute of Ophthalmology, Santa Croce e Carle Hospital, Cuneo, Italys

*Corresponding Author: Andrea Greco, Institute of Ophthalmology, Santa Croce e Carle Hospital, Cuneo, Italy.

Received: April 20, 2022; Published: April 29, 2022

Abstract

Purpose: To analyze long term results of a novel surgical technique implicating the use of a human amniotic membrane patch (hAM) to settle a serous macular detachment in an optic nerve head pit.

Methods: We describe a case a 42 years old male affected by macular serous detachment associated with optic disk pit (OPD) treated with vitrectomy and intravitreal apposition of Human Amniotic Membrane

Results: Postoperative period recorded no complications; CDVA improved from 1.5 to 0.5 logMAR and OCT scan shows reduced serous macular detachment in the first year, unfortunately at 18 months an unexpected relapse occurred.

Conclusion: Considering the follow up, our case could open a debate for the long term effects of HAM apposition. Further case and additional techniques, or even a clinical trial may be necessary to additionally prove the full efficacy of this technique.

Keywords: Optic Disc Pit Treatment; Amniotic Membrane; Optic Disc Pit Maculopathy; Vitrectomy

References

1. Georgalas I., et al. “Optic disc pit: a review”. Graefe's Archive for Clinical and Experimental Ophthalmology 249 (2011): 1113-1122.
2. Zheng A., et al. “Surgical Options and Outcomes in the Treatment of Optic Pit Maculopathy: A Meta-analysis and Systematic Review”. Ophthalmology Retina3 (2020): 289-299.
3. Yuen CH and Kaye SB. “Spontaneous resolution of serous maculopathy associated with optic disc pit in a child: a case report”. Journal of AAPOS 6 (2002): 330-331.
4. Valdés-Lara CA., et al. “Micropulse laser for persistent optic disc pit maculopathy. A case report”. American Journal of Ophthalmology Case Reports 10 (2018): 282-284.
5. Chatziralli I., et al. “Optic disk pit maculopathy: current management strategies”. Clinical Ophthalmology 12 (2018): 1417-1422.
6. Shah PK., et al. “Scleral autograft for optic nerve head pit associated chronic maculopathy”. Ophthalmic Surgery, Lasers and Imaging Retina 48 (2017): 251-254.
7. Rizzo S., et al. “Optic disc pit maculopathy: the value of small-gauge vitrectomy, peeling, laser treatment, and gas tamponade”. European Journal of Ophthalmology4 (2012): 620-625.
8. Rizzo S., et al. “Management of Optic Disk Pit-associated Macular Detachment with Human Amniotic Membrane Patch”. Retina (2020): 1-4.
9. Jirsova K and Jones GLA. “Amniotic membrane in ophthalmology properties,preparation, storage and indications for grafting-a review”. Cell Tissue Bank2 (2017): 193-204.

Citation

Citation: Andrea Greco., et al. “Optic Disc Pit Treated with Human Amniotic Membrane: Is it a Lasting Solution?".Acta Scientific Ophthalmology 5.5 (2022): 71-73.

Copyright

Copyright: © 2022 Andrea Greco., 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.