Optic disc pit maculopathy treated with vitrectomy, internal limiting membrane peeling, and gas tamponade: a report of two cases

PURPOSE. Two cases with optic disc pit associated maculopathy, treated with vitrectomy surgery, internal limiting membrane peeling (ILM) and gas tamponade, are presented. METHODS. Interventional case reports. RESULTS. Two patients with serous macular detachment associated with a congenital optic pit underwent vitrectomy surgery, induction of posterior vitreous detachment, peeling of the ILM, and gas tamponade. In both cases, complete resolution of intraretinal and sub-retinal fluid was observed within a few months after surgery. The retina remained attached during a follow-up of 12 months and the visual acuity of both patients improved. CONCLUSIONS. Vitrectomy with ILM peeling and gas tamponade without any additional laser photocoagulation seems to be sufficient for the treatment of optic disc pit maculopathy. Further studies are required to evaluate the above findings, although the implementation of large-series studies remains a challenge due to the rarity of cases with optic disc maculopathy. (Eur J Ophthalmol 2009; 19: 324-6)