May 2004
Volume 45, Issue 13
Free
ARVO Annual Meeting Abstract  |   May 2004
Vitrectomy Without Laser Retinopexy In Patients With Macular Detachment As A Complication Of Optic Pit
Author Affiliations & Notes
  • S.W. Crafoord
    Ophthalmology, Orebro University Hosp, Orebro, Sweden
  • Footnotes
    Commercial Relationships  S.W. Crafoord, None.
  • Footnotes
    Support  none
Investigative Ophthalmology & Visual Science May 2004, Vol.45, 1997. doi:
  • Views
  • Share
  • Tools
    • Alerts
      ×
      This feature is available to authenticated users only.
      Sign In or Create an Account ×
    • Get Citation

      S.W. Crafoord; Vitrectomy Without Laser Retinopexy In Patients With Macular Detachment As A Complication Of Optic Pit . Invest. Ophthalmol. Vis. Sci. 2004;45(13):1997.

      Download citation file:


      © ARVO (1962-2015); The Authors (2016-present)

      ×
  • Supplements
Abstract

Abstract: : Purpose: To report the clinical outcome, of patients with congenital optic pit and macular retinal detachment, using vitrectomy, retinotomy and drainage of subretinal fluid without retinopexy. The results are compared to patients where retinopexy was used in addition to vitrectomy. Methods: 7 patients underwent surgery including pars plana vitrectomy, fluid/expanding gas exchange (two eyes were filled with silicone oil) and laser pexy. Six eyes had a vitrectomy in combination with retinotomy and internal drainage of subretinal fluid, fluid/expanding gas exchange but no retinopexy. Internal limiting membrane (ILM) was peeled off the detached macular region in five eyes. Pre and postoperative best corrected visual acuity (BCVA); grade of retinal–macular reattachment (in 3 cases verified by OCT); postop cataract progression and cause of any reoperation were monitored. 13 consecutive patients with macular off retinal detachments and optic pit were enrolled in the study between 1985 and 2003. 8 were women 5 men with a mean age 43 years. The mean duration of the disease before surgery was 15 months. Results: Best–corrected visual acuity (BCVA) was measured with Monoyer–Granstrom charts under standardized conditions by a trained ophthalmic nurse and a change was registered when two or more steps of difference was noted. Conclusions: About 45% of patients with optic pit are at risk of sometimes in life suffering from macular detachment, which if long standing may cause cystic macular degeneration and irreversible deterioration of visual acuity. The traditional treatment with vitrectomy and retinopexy is reported with good anatomic and visual results although some patients complain of visual field disturbances. Also in our study reoperations were needed to achieve final reattachment of the macula. Vitrectomy and drainage of subretinal fluid and fluid gas exchange without retinopexy, however, showed similar results with no reoperations and no visual field defects. Table of data 

Keywords: retinal detachment • optic disc • vitreoretinal surgery 
×
×

This PDF is available to Subscribers Only

Sign in or purchase a subscription to access this content. ×

You must be signed into an individual account to use this feature.

×