Advertisement

Drainage of subretinal fluid in optic disc pit maculopathy using subretinal 42-gauge cannula: a new surgical approach

  • Assad Jalil
  • Panagiotis Stavrakas
  • Felipe E. Dhawahir-Scala
  • Niall Patton
Case Report

Abstract

Background

Different surgical approaches have been used for the treatment of optic disc pit associated maculopathy, with increasing emphasis on vitrectomy.

Methods

Case report

Results

We report a case of optic disc pit maculopathy where vitrectomy was combined with subretinal fluid drainage using a 42-gauge subretinal cannula connected to a "back-flush" flute handle. No retinopexy was performed at the site of drainage. This technique resulted in almost complete resolution of subretinal fluid by 6 weeks, with visual acuity improving from 1.00 Log MAR preoperatively to 0.40 at 8 months after surgery.

Conclusion

We describe a novel technique for subretinal fluid drainage using a subretinal 42-G cannula connected to a standard "back flush" flute in optic disc pit-associated maculopathy.

Keywords

Maculopathy Optic disc pit OCT subretinal drainage Vitrectomy 

References

  1. 1.
    Brown GC, Shields JA, Goldberg RE (1980) Congenital pits of the optic nerve head. II. Clinical studies in humans. Ophthalmology 87(1):51–65PubMedGoogle Scholar
  2. 2.
    Patton N, Aslam SA, Aylward GW (2008) Visual improvement after long-standing central serous macular detachment associated with an optic disc pit. Graefes Arch Clin Exp Ophthalmol 246(8):1083–1085CrossRefPubMedGoogle Scholar
  3. 3.
    Vedantham V, Ramasamy K (2005) Spontaneous improvement of serous maculopathy associated with congenital optic disc pit: an OCT study. Eye 19(5):596–599CrossRefPubMedGoogle Scholar
  4. 4.
    Ziahosseini K, Sanghvi C, Muzaffar W, Stanga PE (2009) Successful surgical treatment of optic disc pit maculopathy. Eye 23(6):1477–1479CrossRefPubMedGoogle Scholar
  5. 5.
    Hirakata A, Okada AA, Hida T (2005) Long-term results of vitrectomy without laser treatment for macular detachment associated with an optic disc pit. Ophthalmology 112(8):1430–1435CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag 2010

Authors and Affiliations

  • Assad Jalil
    • 1
  • Panagiotis Stavrakas
    • 1
  • Felipe E. Dhawahir-Scala
    • 1
  • Niall Patton
    • 1
  1. 1.Manchester Royal Eye HospitalManchesterUnited Kingdom

Personalised recommendations