PURPOSE: To inform about the successful surgical treatment of the retinal detachment of the macula and macular hole, as a complication of the optic disc pit. PATIENT: The authors report about 32 years old patient with optic disc pit complicated with the retinal detachment and the macular hole. After pars plana vitrectomy with intraocular gas injection (20% C3F8) associated with the application of the autologous serum and follow up face down positioning, the retinal attachment of the macula and the closure of the macular hole were present. In the period 9 months after the operation the relapse of the retinal detachment was observed and the closure of the macular hole is still remained. Condition was treated by intraocular gas injection (1 ml C3F8) and argonlasercoagulation. During the period of more than a 13 months after the first operation and 5 months after the reoperation the retina is attached and the macular hole is closed. In campimetry, a detailed development of the central scotoma is documented. The final visual acuity with correction is 6/9, that is improvement in 3 lines in comparison to preoperative condition. CONCLUSION: The surgical treatment of macular hole by optic disc pit is currently the methods of choice. Using this methods successful anatomical as well as functional results could be obtained.
PURPOSE: To inform about the successful surgical treatment of the retinal detachment of the macula and macular hole, as a complication of the optic disc pit. PATIENT: The authors report about 32 years old patient with optic disc pit complicated with the retinal detachment and the macular hole. After pars plana vitrectomy with intraocular gas injection (20% C3F8) associated with the application of the autologous serum and follow up face down positioning, the retinal attachment of the macula and the closure of the macular hole were present. In the period 9 months after the operation the relapse of the retinal detachment was observed and the closure of the macular hole is still remained. Condition was treated by intraocular gas injection (1 ml C3F8) and argonlasercoagulation. During the period of more than a 13 months after the first operation and 5 months after the reoperation the retina is attached and the macular hole is closed. In campimetry, a detailed development of the central scotoma is documented. The final visual acuity with correction is 6/9, that is improvement in 3 lines in comparison to preoperative condition. CONCLUSION: The surgical treatment of macular hole by optic disc pit is currently the methods of choice. Using this methods successful anatomical as well as functional results could be obtained.