Abstract
Purpose: :
To evaluate a series of patients with optic pit maculopathy in terms of their clinical characteristics, management strategies, and clinical outcomes.
Methods: :
A consecutive case series of patients with a diagnosis of optic disc pit at Bascom Palmer Eye Institute between the years of 2001 and 2011. Data harvested from the medical record was entered into a computerized database. Patients were divided into two main groups: 1) patients with optic pit maculopathy that were observed, and 2) patients with optic pit maculopathy that received surgical intervention. Main outcome measures included visual acuity and OCT findings. Other data including age, gender, eye, age of onset, length of follow up, location of optic pit, and location of fluid by OCT were also recorded.
Results: :
18 eyes with an optic disc pit were identified, and of those, 78 percent (14/18 eyes) had macular involvement. 10/18 optic pits were located inferotemporally, 6/18 optic pits were located temporally, and 2/18 optic pits were located inferiorly. Of the optic pits with maculopathy, 71% of the eyes had schisis-like cavities, and 29% had only subretinal fluid. 6/14 eyes who were observed had initial visual acuity 20/80 or better, and 5/14 of observed patients had a final acuity of 20/80 or better. 4/14 patients received surgery, which included pars plana vitrectomy, gas tamponade, laser, and subretinal drainage in some cases. 3 of the 4 patients continued to have some persistent retinal fluid after surgery. All patients undergoing surgery had initial visual acuity worse than 20/100. 1 of the 4 patients achieved a final visual acuity of better than 20/100 after surgery.
Conclusions: :
In the current study, patients with good initial visual acuity were generally observed and remained stable during follow up. Surgical intervention in eyes with reduced vision produced variable outcomes, with persistent intraretinal/subretinal fluid being a common occurrence.
Keywords: optic disc • retinal detachment • vitreoretinal surgery