We read with interest the recent article by Avci et al. [1] reviewing the 51 cases of optic disc pit maculopathy (OPD-M) treated with pars plana vitrectomy. We would like to share our experience of OPD-M in a child with follow-up for 3 years and emphasize few learning points.
We performed a 23G vitrectomy with internal limiting membrane peel and SF6(20%) in a 9-year-old boy with ODP-M, who presented with incidental finding of unilateral visual loss. His visual acuity at presentation was counting finger in the affected eye and had been recorded 6/6 2 years earlier by his optician. The subretinal fluid took 22 months to completely disappear (Fig. 1). Vision recovered to 6/6 unaided.
We would like to emphasize two important learning points in managing OPD-M. First, there may be a significant delay in complete retinal reattachment in OPD-M after surgery, i.e., 22 months in our case. Hence, the clinician should monitor it for an extended period before performing a second intervention, as suggested by Avci et al. [1]. Second, young patients may have surprisingly good visual outcome after surgery despite poor visual acuity at presentation.
References
Avci R, Kapran Z, Ozdek S, Teke MY, Oz O, Guven D, et al. Multicenter study of pars plana vitrectomy for optic disc pit maculopathy: MACPIT study. Eye. 2017;31:1266–73.
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Chua, P.Y., Greiner, K. Optic disc pit maculopathy. Eye 32, 1419–1420 (2018). https://doi.org/10.1038/s41433-018-0091-6
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DOI: https://doi.org/10.1038/s41433-018-0091-6