| A Case of Vitrectomy without Laser for Serous Macular Detachment Associated with Optic Disc Pit. |
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Jung Heum Hong, Yun Young Kim |
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Department of Ophthalmology, Catholic University of Daegu College of Medicine, Daegu, Korea. yykim@cu.ac.kr |
| 증례보고 = 황반박리가 동반된 시신경유두소와에서 레이저 없이 시행한 유리체절제술 후 장기관찰 1예 |
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홍정흠⋅김윤영 |
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Department of Ophthalmology, Catholic University of Daegu College of Medicine, Daegu, Korea |
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| Abstract |
PURPOSE
To report a long term result of vitrectomy, gas tamponade without laser retinopexy for serous macular detachment associated with an optic disc pit (ODP). CASE SUMMARY: A 13 year old boy with visual disturbance in the left eye showed serous macular detachment associated with an inferior temporal ODP. The abnormal vitreous strand over the optic disc implying vitreous traction and retinoschisis were revealed by the optical coherence tomography (OCT) examination. Pars plana vitrectomy after complete induction of posterior vitreous detachment without laser retinopexy, and gas tamponade with postoperative facedown positioning were performed. Complete retinal attachment occurred at 6 months after first operation but recurrent macula detachment occurred at 15 months after first operation. Additional gas tamponade resulted in successful retinal attachment for more than 2 years and visual improvement. CONCLUSIONS: Vitrectomy and gas tamponade without additional laser photocoagulation could be another option for the treatment of ODP maculopathy. But recurrent macular detachment might occur and simple gas tamponade was effective in this case. This result supports another factor in addition to vitreous traction may play a role in the development of the macular detachment associated ODP. Further studies are required to evaluate the effect of vitrectomy, gas tamponade without laser retinopexy for the treatment of ODP maculopathy. |
| Key Words:
Maculopathy;Optic disc pit;Vitectomy without laser retinopexy |
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