[Posterior vitrectomy with gas endotamponade and retinal laser therapy in treatment of patients with macular complications of the optic disc pit].

Abstract

PURPOSE:

Retrospective evaluation of functional and anatomical treatment outcomes in patients with macular cornplications of optic disc pit.

MATERIAL AND METHODS:

9 patients (eyes) underwent central posterior vitrectomy in conjunction with posterior vitreous detachment, retinal laser therapy to the optic disc pit area and endotamponade with expansile gas. It was followed by the patient's forced positioning (recommended for a few days especially at night), which ended the treatment protocol.

RESULTS:

Improved anatomical relationships, accompanied by functional improvement were achieved in each reported case. The resolution of macular lesions was slow, lasting even for several months. Too long delay in performing the surgery (over 5 months since the onset of visual impairment) was associated with the development of retinal complications, mainly macular hole formation, most likely caused by the long-term ischemia.

CONCLUSIONS:

The central posterior vitrectomy combined with posterior vitreous detachment, laser therapy, andd expansile gas tamponade offers good outcomes in patients with retinal complications of optic disc pit. Surgery performed shortly after the onset of visual dysfunction gives the best functional outcomes. Restoration of normal anatomical relationships is a long-term process. In some cases, though, these abnormalities may not resolve completely.

• Authors: Adam Cywiński, Jakub Kałużny, Daniela Ferda, Anna Piwońska-Lobermajer
• Journal: Klinika oczna (Klin Oczna) Vol. 117 Issue 2 Pg. 83-7 ( 2015) ISSN: 0023-2157 [Print] Poland
• Vernacular Title: Witrektomia tylna z endotamponadą oraz laseroterapią siatkówki w leczeniu powikłań siatkówkowych dołka rozwojowego tarczy nerwu wzrokowego.
• PMID: 26638543 (Publication Type: English Abstract, Journal Article)

Topics

• Adult
• Combined Modality Therapy
• Endotamponade (methods)
• Eye Abnormalities (etiology, surgery)
• Female
• Humans
• Laser Coagulation (methods)
• Male
• Middle Aged
• Optic Disk (abnormalities)
• Treatment Outcome
• Visual Acuity (physiology)
• Vitrectomy (methods)
• Vitreous Detachment (etiology, surgery)