gms | German Medical Science

25th Annual Meeting of the German Retina Society

German Retina Society

01.06. - 02.06.2012, Münster

Surgical treatment for optic disc pit associated maculopathy in childhood

Meeting Abstract

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  • Stefan Dithmar - Universitäts-Augenklinik Heidelberg

German Retina Society. 25th Annual Conference of the German Retina Society. Münster, 01.-02.06.2012. Düsseldorf: German Medical Science GMS Publishing House; 2012. Doc12rg71

doi: 10.3205/12rg71, urn:nbn:de:0183-12rg711

This is the translated version of the article.
The original version can be found at: http://www.egms.de/de/meetings/rg2012/12rg71.shtml

Published: May 30, 2012

© 2012 Dithmar.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.


Outline

Text

Background: Optic disc pits are rare, and can lead to visual acuity impairment if associated with maculopathy (OPAM). Few pediatric surgical cases exist, but early treatment in children is important due to the risk of amblyopia.

Methods: Two children with OPAM underwent surgical treatment. A 12-year-old boy received vitrectomy (VE), induction of posterior vitreous detachment (PVD) and surgical incision with a canula. A 4-year-old girl underwent VE, PVD and gas endotamponade, and was reoperated twice with lasercoagulation, internal drainage and gas.

Results: The boy presented with central subretinal fluid (SRF) and adjacent schisis-like separation. After surgery, SRF completely resolved with persisting schisis-like separation (VA gain: 12 lines; follow-up: 5 yrs). The girl showed central SRF without schisis-like separation. After surgery, SRF absorbed and remained absent for one year, recurred, reabsorbed after re-operation and remained absent for 3 more years. After the third operation SRF completely resolved (VA gain: 5 lines; follow-up: 5.5 yrs).

Conclusions: Surgical treatment of OPAM can result in favourable functional results even in children. Depending on the morphologic type of OPAM limited surgery can be successful even without complete PVD, vitrectomy, endolasercoagulation or gas-endotamponade.