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Early PPV may increase reattachment rates for macular detachment due to optic disc pit maculopathy
Early pars plana vitrectomy intervention of optic disc pits and serous macular detachments may increase the success of postoperative reattachment, according to a study.
The retrospective multicenter study reviewed the charts of 32 eyes with optic disc pits and serous macular detachments that underwent pars plana vitrectomy (PPV) with various adjuvant techniques.
All eyes underwent PPV and induction of posterior vitreous detachment if it was not present; eight eyes underwent internal limiting membrane peeling, seven eyes underwent temporal endolaser photocoagulation, and 31 eyes received gas tamponade.
The overall reattachment rate was 81.3%, with half of eyes requiring more than 1 year to reattach. Eight eyes required a second surgery after a mean of 404.5 days, and two eyes required three procedures.
Thinner preoperative central retinal thickness was a statistically significant factor regarding the success rate of final reattachment.
Overall, visual acuity improved by a mean of five lines from 20/185 preoperatively to 20/63 postoperatively.
Internal limiting membrane peeling and temporal endolaser photocoagulation were not associated with improved postoperative success, and there was no difference between short- or long-acting gas tamponade. – by Kristie L. Kahl
Disclosure: The authors report no relevant financial disclosures.
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Rayat JS, et al. Retina. 2015;doi:10.1097/IAE.0000000000000576.