Title | Fibrin Glue and Internal Limiting Membrane Abrasion for Optic Disc Pit Maculopathy. |
Publication Type | Journal Article |
Year of Publication | 2018 |
Authors | Almeida, David R. P., Chin Eric K., Arjmand Parnian, Velez Gabriel, Evans Lucy P., and Mahajan Vinit B. |
Journal | Ophthalmic Surg Lasers Imaging Retina |
Volume | 49 |
Issue | 12 |
Pagination | e271-e277 |
Date Published | 2018 Dec 01 |
ISSN | 2325-8179 |
Abstract | BACKGROUND AND OBJECTIVE: To describe a novel surgical technique using pars plana vitrectomy (PPV), internal limiting membrane (ILM) abrasion, and intravitreal fibrin glue for the treatment of optic disc pit maculopathy. PATIENTS AND METHODS: Surgical case series technique with scanning electron microscopy (SEM) of human post-mortem eyes. RESULTS: Using SEM, the authors demonstrate the persistent adherence of vitreous fragments to the optic disc following induction of posterior vitreous detachment in human postmortem eyes. The authors describe a surgical technique using PPV, Tano Diamond Dusted Membrane Scraper for an ILM abrasion, intravitreal fibrin glue (Tisseel), and gas-air exchange to seal optic disc pits. The authors report successful long-term visual and anatomical outcomes in three patients. CONCLUSIONS: Intravitreal fibrin glue, when combined with ILM abrasion, may be a viable treatment option for optic disc pit maculopathy with good short- and long-term visual acuity outcomes. SEM shows that ILM abrasion removes vitreous fragments, which are persistently adherent and may lead to failure with other interventional techniques. [Ophthalmic Surg Lasers Imaging Retina. 2018;49:e271-e277.]. |
DOI | 10.3928/23258160-20181203-18 |
Alternate Journal | Ophthalmic Surg Lasers Imaging Retina |
PubMed ID | 30566713 |