The Surgical Treatment of Macular Hole and Maculopathy Associated with OpticDisc Pit

Overview

Purpose:
To inform about the successful surgical treatment of the retinal detach-ment 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 compli-cated with the retinal detachment and the macular hole. After pars plana vitrec-tomy with intraocular gas injection (20% C3F8) associated with the aplication ofthe autologous serum and follow up face down positioning, the retinal attachmentof the macula and the closure of the macular hole were present. In the period 9months after the operation the relaps of the retinal detachment was observed andthe closure of the macular hole is still remained. Condition was treated byintraocular gas injection (1 ml C3F8) and argonlasercoagulation. During theperiod of more than a 13 months after the first operation and 5 months after thereoperation the retina is attached and the macular hole is closed. In campimetry,a detailed development of the central scotoma is documented. The final visualacuity with correction is 6/9, that is improvement in 3 lines in comparison topreoperative condition.Conclusion: The surgical treatment of macular hole by optic disc pit is currentlythe methods of choise. Using this methods successful anatomical as well asfunctional results could be obtained.

Key words:
optic disc pit, pars plana vitrectomy, maculopathy, macular hole