Inverted internal limiting membrane flap for the management of optic disc pit maculopathy

Arq Bras Oftalmol. 2020 Jan-Feb;83(1):69-72. doi: 10.5935/0004-2749.20200012.

Abstract

Optic disc pit is a rare congenital anomaly that can cause serous macular detachment. It has no universally accepted single treatment. Recently, several investigators have performed new procedures to directly seal the pit. Herein, we report a case showing a promising method for optic pit maculopathy surgical treatment. We created an inverted internal limiting membrane flap and fold it over the pit to promote barrier in order to stop further fluid accumulation. Gradual absorption of subretinal fluid was observed over 12 months of follow-up. Optical coherence tomography can demonstrate internal limiting membrane folded over the pit and progressive subretinal fluid resolution. This technique resulted in a satisfactory anatomic outcome with good functional improvement in the best-corrected visual acuity.

Publication types

  • Case Reports
  • Letter

MeSH terms

  • Adult
  • Eye Abnormalities / complications
  • Eye Abnormalities / surgery*
  • Female
  • Humans
  • Macular Degeneration / complications
  • Optic Disk / abnormalities
  • Retinal Detachment / etiology
  • Retinal Detachment / surgery*
  • Retinal Diseases
  • Subretinal Fluid
  • Tomography, Optical Coherence / methods*
  • Visual Acuity
  • Vitrectomy / methods*