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Pars plana vitrectomy with juxtapapillary laser photocoagulation versus vitrectomy without juxtapapillary laser photocoagulation for the treatment of optic disc pit maculopathy: the results of the KKESH International Collaborative Retina Study Group
  1. Marwan A Abouammoh1,
  2. Sulaiman M Alsulaiman2,
  3. Vishali S Gupta2,3,
  4. Ahmed Mousa1,
  5. Akito Hirakata4,
  6. Maria H Berrocal5,
  7. Megan Chenworth5,
  8. Jay Chhablani6,
  9. Yusuke Oshima7,
  10. Waseem M AlZamil8,
  11. Antonio Marcelo Casella9,
  12. Gabriela Papa-Oliva10,11,
  13. Alay S Banker12,
  14. J Fernando Arevalo2,13
  15. for the King Khaled Eye Specialist Hospital International Collaborative Retina Study Group
    1. 1Department of Ophthalmology, College of Medicine, King Saud University, Riyadh, Saudi Arabia
    2. 2Vitreoretinal Division, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia
    3. 3Department of Ophthalmology, Advanced Eye Center, Postgraduate Institute of Medical Education and Research, Chandigarh, India
    4. 4Kyorin Eye Center, Kyorin University School of Medicine, Tokyo, Japan
    5. 5Department of Ophthalmology, University of Puerto Rico, San Juan, Puerto Rico
    6. 6Smt. Kanuri Santhamma Retina Vitreous Centre, L.V. Prasad Eye Institute, Hyderabad, India
    7. 7Vitreoretina & Cataract Surgery Center, Oshima Eye Clinic, Osaka, Japan
    8. 8King Fahad Hospital of the University, Khobar, Saudi Arabia
    9. 9Ophthalmology Department, Universidade Estadual de Londrina, Londrina, Brazil
    10. 10Centro Oftalmologico IUMO, Caracas, Venezuela
    11. 11Department of Ophthalmology, Hospital Miguel Perez Carreno- IVSS, Caracas, Venezuela
    12. 12Banker's Retina Clinic and Laser Centre, Gujarat, India
    13. 13Retina Division, Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
    1. Correspondence to J Fernando Arevalo, MD, FACS, The Wilmer Eye Institute, Johns Hopkins University School of Medicine, 600 N. Wolfe Street, Maumenee 752, Baltimore, MD 21287, USA; arevalojf{at}jhmi.edu

    Abstract

    Background/aims To compare the functional and anatomic outcomes of pars plana vitrectomy (PPV) with juxtapapillary laser photocoagulation (JLP) versus vitrectomy without JLP in optic disc pit maculopathy.

    Methods This was a multicentre, retrospective study of 46 consecutive patients with optic disc pit maculopathy presenting at tertiary eye centres between 1992 and 2012. Indications for surgery included distorted or decreased vision. Surgical intervention included PPV, posterior vitreous detachment, with or without gas tamponade. Twenty-four patients received laser photocoagulation at the temporal edge of the optic disc pit (group A) and 22 patients had no laser (group B). Postoperative best-corrected visual acuity (BCVA) and optical coherence tomography findings were the main outcome measures.

    Results Mean follow-up was 44 months (range 12–98 months). BCVA in group A improved significantly from 0.7 logMAR (20/100) preoperatively to 0.5 logMAR (20/60) postoperatively (p=0.017). In group B, BCVA improved from 0.7 logMAR (20/100) preoperatively to 0.4 logMAR (20/40) postoperatively (p=0.014). The difference in final BCVA between groups was not statistically significant (p=0.693). The mean central macular thickness (CMT) in group A improved significantly from 750 μm preoperatively to 309 μm at last follow-up (p<0.0001). The mean CMT in group B improved from 616 μm preoperatively to 291 μm at last follow-up (p=0.028). The difference in final CMT between groups was not statistically significant (p=0.747).

    Conclusions PPV with JLP for optic disc pit maculopathy had similar functional and anatomic outcomes compared with vitrectomy without JLP.

    • Macula
    • Retina
    • Optic Nerve

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