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KMID : 0360220110520091114
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Journal of the Korean Ophthalmological Society
2011 Volume.52 No. 9 p.1114 ~ p.1118
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A Case of Vitrectomy without Laser for Serous Macular Detachment Associated with Optic Disc Pit
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Hong Jung-Heum
Kim Yun-Young
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Abstract
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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.
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KEYWORD
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Maculopathy, Optic disc pit, Vitectomy without laser retinopexy
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