Long-Term Changes of Macular Thickness after Pars Plana Vitrectomy in Optic Disc Pit Maculopathy: A Spectral-Domain Optical Coherence Tomography Study. (4th May 2017)

• Record Type: Journal Article
• Authors: Chatziralli, Irini; Theodossiadis, George; Panagiotidis, Dimitrios; Emfietzoglou, Ioannis; Grigoropoulos, Vlassis; Theodossiadis, Panagiotis
• Is Part Of: Seminars in ophthalmology. Volume 32:Number 3(2017)
• Page Start: 302
• Page End: 308
• Publication Date: 2017-05-04
• Subjects: ILM peeling -- optical coherence tomography -- optic disc pit -- treatment -- vitrectomy; Ophthalmology -- Periodicals; Eye -- Diseases -- Periodicals; Eye -- Surgery -- Periodicals; 617.7005
• DOI: 10.3109/08820538.2015.1068345
• Languages: English
• ISSNs: 0882-0538

Abstract

ABSTRACT: Purpose : To evaluate macular thickness (MT) changes, using spectral domain optical coherence tomography (SD-OCT) in patients with optic disc pit (ODP) maculopathy after pars plana vitrectomy (PPV) with or without internal limiting membrane (ILM) peeling. Procedures : Our retrospective study included nine patients with ODP maculopathy, treated with either PPV ( n = 5) or PPV with ILM peeling ( n = 4). All participants, who had a mean long-term follow-up of 33.4 ± 7.0 months, underwent a complete ophthalmological examination and SD-OCT. Due to the preoperative macular elevation, the postoperative MT in the operated patients was compared with that of fellow eyes and with normative data. Results : A significant reduction in MT was noticed in all macular sectors of the operated cases at the last examination. The reduction was more evident in the group of PPV with ILM peeling. At the last examination of the follow-up, there was a statistically significant improvement regarding BCVA in both groups in comparison with baseline, while the two groups did not differ significantly in between ( p = 0.245). Conclusions : In the long-term follow-up period, our study demonstrated a significant reduction in MT in patients with ODP maculopathy treated with PPV, which was more profound in those cases where PPV included ILM peeling.