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Vitrectomy with gas tamponade successfully treated pit-macular syndrome
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Vitrectomy with gas tamponade appears to be the best way to treat pit-macular syndrome, but it can take months to achieve complete retinal reattachment, according to a study by Shojo Kishi, MD.
Dr. Kishi evaluated three approaches to treating put-macular syndrome, a condition in which a congenital optic disc pit is associated with serous retinal detachment, outer macular hole and retinoschisis. In a study of 11 eyes of 11 patients, seven eyes were treated with vitrectomy and gas tamponade, two with laser photocoagulation at the temporal margin of the optic disc, and two with gas tamponade alone, he said. One eye had previous photocoagulation. The average follow-up was 33 months.
Vitrectomy with gas tamponade resulted in permanent retinal reattachment in all seven eyes. Photocoagulation at the temporal margin of the optic disc appeared to be ineffective, Dr. Kishi said. It took between 5 and 17 months for retinal reattachment following vitrectomy, he said.
Dr. Kishi will present his results with treatment of pit-macular syndrome at Hawaii 2005, the Royal Hawaiian Eye Meeting, next week.