Marwan A Abouammoh1, Sulaiman M Alsulaiman2, Vishali S Gupta3, Ahmed Mousa1, Akito Hirakata4, Maria H Berrocal5, Megan Chenworth5, Jay Chhablani6, Yusuke Oshima7, Waseem M AlZamil8, Antonio Marcelo Casella9, Gabriela Papa-Oliva10, Alay S Banker11, J Fernando Arevalo12. 1. Department of Ophthalmology, College of Medicine, King Saud University, Riyadh, Saudi Arabia. 2. Vitreoretinal Division, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia. 3. Vitreoretinal Division, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia Department of Ophthalmology, Advanced Eye Center, Postgraduate Institute of Medical Education and Research, Chandigarh, India. 4. Kyorin Eye Center, Kyorin University School of Medicine, Tokyo, Japan. 5. Department of Ophthalmology, University of Puerto Rico, San Juan, Puerto Rico. 6. Smt. Kanuri Santhamma Retina Vitreous Centre, L.V. Prasad Eye Institute, Hyderabad, India. 7. Vitreoretina & Cataract Surgery Center, Oshima Eye Clinic, Osaka, Japan. 8. King Fahad Hospital of the University, Khobar, Saudi Arabia. 9. Ophthalmology Department, Universidade Estadual de Londrina, Londrina, Brazil. 10. Centro Oftalmologico IUMO, Caracas, Venezuela Department of Ophthalmology, Hospital Miguel Perez Carreno- IVSS, Caracas, Venezuela. 11. Banker's Retina Clinic and Laser Centre, Gujarat, India. 12. Vitreoretinal Division, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia Retina Division, Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Abstract
BACKGROUND/AIMS: To compare the functional and anatomic outcomes of pars plana vitrectomy (PPV) with juxtapapillary laser photocoagulation (JLP) versus vitrectomy without JLP in optic disc pit maculopathy. METHODS: This was a multicentre, retrospective study of 46 consecutive patients with optic disc pit maculopathy presenting at tertiary eye centres between 1992 and 2012. Indications for surgery included distorted or decreased vision. Surgical intervention included PPV, posterior vitreous detachment, with or without gas tamponade. Twenty-four patients received laser photocoagulation at the temporal edge of the optic disc pit (group A) and 22 patients had no laser (group B). Postoperative best-corrected visual acuity (BCVA) and optical coherence tomography findings were the main outcome measures. RESULTS: Mean follow-up was 44 months (range 12-98 months). BCVA in group A improved significantly from 0.7 logMAR (20/100) preoperatively to 0.5 logMAR (20/60) postoperatively (p=0.017). In group B, BCVA improved from 0.7 logMAR (20/100) preoperatively to 0.4 logMAR (20/40) postoperatively (p=0.014). The difference in final BCVA between groups was not statistically significant (p=0.693). The mean central macular thickness (CMT) in group A improved significantly from 750 μm preoperatively to 309 μm at last follow-up (p<0.0001). The mean CMT in group B improved from 616 μm preoperatively to 291 μm at last follow-up (p=0.028). The difference in final CMT between groups was not statistically significant (p=0.747). CONCLUSIONS: PPV with JLP for optic disc pit maculopathy had similar functional and anatomic outcomes compared with vitrectomy without JLP. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/
BACKGROUND/AIMS: To compare the functional and anatomic outcomes of pars plana vitrectomy (PPV) with juxtapapillary laser photocoagulation (JLP) versus vitrectomy without JLP in optic disc pit maculopathy. METHODS: This was a multicentre, retrospective study of 46 consecutive patients with optic disc pit maculopathy presenting at tertiary eye centres between 1992 and 2012. Indications for surgery included distorted or decreased vision. Surgical intervention included PPV, posterior vitreous detachment, with or without gas tamponade. Twenty-four patients received laser photocoagulation at the temporal edge of the optic disc pit (group A) and 22 patients had no laser (group B). Postoperative best-corrected visual acuity (BCVA) and optical coherence tomography findings were the main outcome measures. RESULTS: Mean follow-up was 44 months (range 12-98 months). BCVA in group A improved significantly from 0.7 logMAR (20/100) preoperatively to 0.5 logMAR (20/60) postoperatively (p=0.017). In group B, BCVA improved from 0.7 logMAR (20/100) preoperatively to 0.4 logMAR (20/40) postoperatively (p=0.014). The difference in final BCVA between groups was not statistically significant (p=0.693). The mean central macular thickness (CMT) in group A improved significantly from 750 μm preoperatively to 309 μm at last follow-up (p<0.0001). The mean CMT in group B improved from 616 μm preoperatively to 291 μm at last follow-up (p=0.028). The difference in final CMT between groups was not statistically significant (p=0.747). CONCLUSIONS:PPV with JLP for optic disc pit maculopathy had similar functional and anatomic outcomes compared with vitrectomy without JLP. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/
Authors: R Avci; Z Kapran; Ş Ozdek; M Y Teke; O Oz; D Guven; S Yilmaz; B Kaderli; A H Durukan; G Sobaci; Y B Unver; L Akduman; S Kaynak; I Dogan; U U Inan Journal: Eye (Lond) Date: 2017-07-21 Impact factor: 3.775
Authors: Ahmed Algethami; Mohammed Talea; Wael A Alsakran; Marco Mura; Sulaiman M Alsulaiman Journal: Int Ophthalmol Date: 2020-10-09 Impact factor: 2.031