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Case Reports
. 2021 Oct-Dec;65(4):379-382.
doi: 10.22336/rjo.2021.74.

Plug the pit: a surgical technique for optic disc pit

Davide Borroni  1 , Chiara Bonzano  2 , Rahul Rachwani Anil  3 , María García Lorente  4 , Carlos Rocha de Lossada  5 , Francisco Zamorano Martín  3 , Hussain Ahmad Khaqan  6
Affiliations
Case Reports

Plug the pit: a surgical technique for optic disc pit

Davide Borroni et al. Rom J Ophthalmol. 2021 Oct-Dec.

Abstract

Purpose: To present a recently described surgical technique for the treatment of optic disc pit (ODP) and evaluate its outcomes. Methods: A patient presented with refractory serous macular detachment and secondary full thickness macular hole associated with ODP, for which he had already undergone pars-plana vitrectomy with internal limiting membrane peeling and autologous serum application over the optic disc pit. A recently described surgical technique was carried out to treat this case. In this procedure, a silicone punctal plug was used to close the ODP. The macular hole was closed with a human amniotic membrane graft. Endotamponade was carried out with 1000cs silicone oil. Results: Postoperatively, the serous macular detachment subsided and the punctal plug and amniotic membrane graft were in situ. Patient's visual acuity improved from counting fingers to 6/38 at one year postoperative. Conclusion: This technique appears to be safe and effective in resolving long standing serous macular detachment associated with ODP, which was refractory to the conventional intervention. However, more cases and longer follow-ups are needed to affirm the safety and efficacy of this recently described procedure.

Keywords: maculopathy; optic disc pit; punctal plug.

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Figures

Fig. 1
Fig. 1
Fundus picture and OCT images before surgery showing persistent optic disc pit with associated maculopathy and secondary macular hole
Fig. 2
Fig. 2
Medium sized silicone punctal plug that was used in this procedure and its dimensions (Veraplug, Lacrivera)
Fig. 3
Fig. 3
Postoperative fundus picture and OCT images showing punctal plug well placed in the disc pit, and amniotic membrane graft filling the macular hole. Serous macular detachment has subsided
See this image and copyright information in PMC

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