Optic Disc Pit Maculopathy (ODP-M) Surgical Intervention and Outcome

• Published in: Delhi Journal of Ophthalmology
• Main Authors: Rashid Hammad Nasti, Vipan Vig, Preetam Singh, Rajbir Singh
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2017-07-01
• Subjects: retinoschisis; optic disc pit maculopathy; surgical intervention
• Online Access: https://journals.lww.com/10.7869/djo.242

Abstract We report the case of a 26 year old lady, presenting with complaints of gradual diminution of vision in her right eye (RE). Best corrected visual acuity (BCVA) was 20/60 and N12 in the RE and 20/20 and N6 in the left eye (LE). Fundus examination and optical coherence tomography (OCT) led to a diagnosis of optic disc pit maculopathy (ODP-M) in the RE. Pars plana vitrectomy, with an attempt to make an inner retinal fenestration adjacent to the temporal margin of the pit was done. An iatrogenic break was formed, which was used for subretinal fluid drainage and sealed by diode laser endophotocoagulation. Sulphur hexafluoride (SF6) was used for internal tamponade. At 6 months follow-up, BCVA in the RE had improved to 20/30 and N8. OCT revealed no subretinal fluid and decreased fluid in the schisis cavity. This case report therefore, demonstrates the efficacy of surgical intervention for ODP-M.