Optical coherence tomography findings and retinal changes after vitrectomy for optic disc pit maculopathy
Purpose : To study the optical coherence tomography (OCT) patterns in optic disc pit maculopathy and retinal changes after vitreous surgery. Materials and Methods : Retrospective review of consecutive cases with optic disc pit maculopathy seen at two tertiary eye institutes from January 2005 to June...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2014-01-01
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| Series: | Indian Journal of Ophthalmology |
| Subjects: | |
| Online Access: | http://www.ijo.in/article.asp?issn=0301-4738;year=2014;volume=62;issue=3;spage=287;epage=290;aulast=Sanghi |
| _version_ | 1818390155311972352 |
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| author | Gaurav Sanghi Tapas R Padhi Vivekanand U Warkad Jayesh Vazirani Vishali Gupta Mangat R Dogra Amod Gupta Taraprasad Das |
| author_facet | Gaurav Sanghi Tapas R Padhi Vivekanand U Warkad Jayesh Vazirani Vishali Gupta Mangat R Dogra Amod Gupta Taraprasad Das |
| author_sort | Gaurav Sanghi |
| collection | DOAJ |
| description | Purpose : To study the optical coherence tomography (OCT) patterns in optic disc pit maculopathy and retinal changes after vitreous surgery. Materials and Methods : Retrospective review of consecutive cases with optic disc pit maculopathy seen at two tertiary eye institutes from January 2005 to June 2009. Results : Twenty-four eyes of 23 patients are included. The presenting visual acuity ranged from 20/400 to 20/20 (median:20/80). The median age at presentation was 24 years (range, 6-57 years). Optical coherence tomography demonstrated a combination of retinoschisis and outer layer detachment (OLD) in 19 (79.17%) eyes, OLD only in 3 (12.5%) eyes and retinoschisis only in 2 (8.33%) eyes. An obvious communication (outer layer hole) between the schisis and OLD was seen in 14 (73.68%) of the 19 eyes with both features. Of the 21 eyes with retinoschisis, schisis was present in multiple layers in 15 (71.43%) and single layer in 6 (28.57%) eyes. Eleven eyes underwent pars plana vitrectomy including creation of posterior vitreous detachment (PVD), fluid-air exchange, low intensity laser photocoagulation at the temporal edge of the optic disc pit and non-expansile perfluoropropane gas (14%) injection. Five (45.45%) of 11 eyes undergoing vitrectomy had complete resolution and 4 (36.36%) eyes had partial resolution of maculopathy. Visual acuity improved in 8 (72.72%) of 11 eyes. Conclusion : Optical coherence tomography demonstrates multiple layer schisis and outer layer detachment as main features of optic disc pit maculopathy. Vitrectomy with PVD induction, laser photocoagulation and gas tamponade results in anatomical and visual improvement in most cases with optic disc pit maculopathy. |
| first_indexed | 2024-12-14T04:53:08Z |
| format | Article |
| id | doaj.art-07207e57bbe14cc0b2a5896b01746710 |
| institution | Directory Open Access Journal |
| issn | 0301-4738 1998-3689 |
| language | English |
| last_indexed | 2024-12-14T04:53:08Z |
| publishDate | 2014-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Ophthalmology |
| spelling | doaj.art-07207e57bbe14cc0b2a5896b017467102022-12-21T23:16:28ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892014-01-0162328729010.4103/0301-4738.111191Optical coherence tomography findings and retinal changes after vitrectomy for optic disc pit maculopathyGaurav SanghiTapas R PadhiVivekanand U WarkadJayesh VaziraniVishali GuptaMangat R DograAmod GuptaTaraprasad DasPurpose : To study the optical coherence tomography (OCT) patterns in optic disc pit maculopathy and retinal changes after vitreous surgery. Materials and Methods : Retrospective review of consecutive cases with optic disc pit maculopathy seen at two tertiary eye institutes from January 2005 to June 2009. Results : Twenty-four eyes of 23 patients are included. The presenting visual acuity ranged from 20/400 to 20/20 (median:20/80). The median age at presentation was 24 years (range, 6-57 years). Optical coherence tomography demonstrated a combination of retinoschisis and outer layer detachment (OLD) in 19 (79.17%) eyes, OLD only in 3 (12.5%) eyes and retinoschisis only in 2 (8.33%) eyes. An obvious communication (outer layer hole) between the schisis and OLD was seen in 14 (73.68%) of the 19 eyes with both features. Of the 21 eyes with retinoschisis, schisis was present in multiple layers in 15 (71.43%) and single layer in 6 (28.57%) eyes. Eleven eyes underwent pars plana vitrectomy including creation of posterior vitreous detachment (PVD), fluid-air exchange, low intensity laser photocoagulation at the temporal edge of the optic disc pit and non-expansile perfluoropropane gas (14%) injection. Five (45.45%) of 11 eyes undergoing vitrectomy had complete resolution and 4 (36.36%) eyes had partial resolution of maculopathy. Visual acuity improved in 8 (72.72%) of 11 eyes. Conclusion : Optical coherence tomography demonstrates multiple layer schisis and outer layer detachment as main features of optic disc pit maculopathy. Vitrectomy with PVD induction, laser photocoagulation and gas tamponade results in anatomical and visual improvement in most cases with optic disc pit maculopathy.http://www.ijo.in/article.asp?issn=0301-4738;year=2014;volume=62;issue=3;spage=287;epage=290;aulast=Sanghi Clinical profileIndian populationoptic neuritis treatment trialoptic neuritis Decompression of the orbitdiplopiaorbitthyroid exophthalmosthyroid ophthalmopathy Limbus incisionsubconjunctival incisionsutureless manual small-incision cataract surgerywound constructionCentral retinal vein occlusionintravitrealbevacizumabintravitrealtriamcinolone acetonidemacular edema Contrast sensitivityfixationmicroperimeternormative dataretinal sensitivity Optical coherence tomographyoptic disc pitretinal detachmentretinoschisis |
| spellingShingle | Gaurav Sanghi Tapas R Padhi Vivekanand U Warkad Jayesh Vazirani Vishali Gupta Mangat R Dogra Amod Gupta Taraprasad Das Optical coherence tomography findings and retinal changes after vitrectomy for optic disc pit maculopathy Indian Journal of Ophthalmology Clinical profile Indian population optic neuritis treatment trial optic neuritis Decompression of the orbit diplopia orbit thyroid exophthalmos thyroid ophthalmopathy Limbus incision subconjunctival incision sutureless manual small-incision cataract surgery wound construction Central retinal vein occlusion intravitrealbevacizumab intravitrealtriamcinolone acetonide macular edema Contrast sensitivity fixation microperimeter normative data retinal sensitivity Optical coherence tomography optic disc pit retinal detachment retinoschisis |
| title | Optical coherence tomography findings and retinal changes after vitrectomy for optic disc pit maculopathy |
| title_full | Optical coherence tomography findings and retinal changes after vitrectomy for optic disc pit maculopathy |
| title_fullStr | Optical coherence tomography findings and retinal changes after vitrectomy for optic disc pit maculopathy |
| title_full_unstemmed | Optical coherence tomography findings and retinal changes after vitrectomy for optic disc pit maculopathy |
| title_short | Optical coherence tomography findings and retinal changes after vitrectomy for optic disc pit maculopathy |
| title_sort | optical coherence tomography findings and retinal changes after vitrectomy for optic disc pit maculopathy |
| topic | Clinical profile Indian population optic neuritis treatment trial optic neuritis Decompression of the orbit diplopia orbit thyroid exophthalmos thyroid ophthalmopathy Limbus incision subconjunctival incision sutureless manual small-incision cataract surgery wound construction Central retinal vein occlusion intravitrealbevacizumab intravitrealtriamcinolone acetonide macular edema Contrast sensitivity fixation microperimeter normative data retinal sensitivity Optical coherence tomography optic disc pit retinal detachment retinoschisis |
| url | http://www.ijo.in/article.asp?issn=0301-4738;year=2014;volume=62;issue=3;spage=287;epage=290;aulast=Sanghi |
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