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Optic disk pit maculopathy: current management strategies

Authors Chatziralli I, Theodossiadis P, Theodossiadis GP

Received 10 April 2018

Accepted for publication 26 June 2018

Published 10 August 2018 Volume 2018:12 Pages 1417—1422

DOI https://doi.org/10.2147/OPTH.S153711

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Colin Mak

Peer reviewer comments 4

Editor who approved publication: Dr Scott Fraser


Irini Chatziralli, Panagiotis Theodossiadis, George P Theodossiadis

2nd Department of Ophthalmology, University of Athens, Attikon Hospital, Athens, Greece

Introduction: Optic disk pit (ODP) is a rare congenital abnormality of the optic nerve head and can lead to visual impairment when macular detachment occurred. Recent advances in retinal imaging brought new insights into the pathophysiology of the disease, while new therapeutic options have been also described.
Methods: We made a comprehensive search of the literature regarding the current treatment modalities for the treatment of ODP maculopathy.
Results: Although there have been reported some cases of spontaneous resolution, current management of ODP maculopathy involves several surgical approaches. The most commonly used treatment alternative for ODP maculopathy management is vitrectomy, either alone or in combination with other treatment modalities, such as gas tamponade or laser photocoagulation. Other options, such as scleral buckling and inner fenestration, are also used, based on the recent findings about pathophysiology of the disease.
Conclusion: The management of ODP maculopathy remains challenging. Even though there are further advances in the understanding of the disease pathophysiology, the applied treatment is not single and therapeutic modalities differ in the success rate, related to the anatomical and functional results.

Keywords: optic disk pit, treatment, laser, gas tamponade, vitrectomy, scleral buckling

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