Clinical manifestations of optic pit maculopathy as demonstrated by spectral domain optical coherence tomography

Jonathan H Tzu, Harry W Flynn Jr, Audina M Berrocal, William E Smiddy, Timothy G Murray, Yale L FisherDepartment of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL, USAPurpose: The purpose of this retrospective study was to evaluate the characteri...

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Autores principales:	Tzu JH, Flynn Jr HW, Berrocal AM, Smiddy WE, Murray TG, Fisher YL
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2013
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/e22cd59a541d4e4dbfff3a4b41672575
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spelling	oai:doaj.org-article:e22cd59a541d4e4dbfff3a4b416725752021-12-02T06:23:30ZClinical manifestations of optic pit maculopathy as demonstrated by spectral domain optical coherence tomography1177-54671177-5483https://doaj.org/article/e22cd59a541d4e4dbfff3a4b416725752013-01-01T00:00:00Zhttp://www.dovepress.com/clinical-manifestations-of-optic-pit-maculopathy-as-demonstrated-by-sp-a12009https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Jonathan H Tzu, Harry W Flynn Jr, Audina M Berrocal, William E Smiddy, Timothy G Murray, Yale L FisherDepartment of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL, USAPurpose: The purpose of this retrospective study was to evaluate the characteristic features, including spectral-domain optical coherence tomography (SD-OCT), clinical course, and outcome of treatment if given for patients with optic disc pit maculopathy.Methods: We investigated a consecutive series of patients with a diagnosis of optic pit maculopathy treated between 2001 and 2012 at the Bascom Palmer Eye Institute. Patients were divided into two main groups, ie, patients who were observed without surgery and patients who received surgical intervention. The main outcome measures were presenting and final visual acuity, and changes in SD-OCT imaging were recorded. Other data including age, gender, eye, age of onset, length of follow-up, location of optic pit, and location of fluid by OCT were also recorded.Results: On OCT, 67% (12/18) of the eyes showed schisis-like cavities, 22% (4/18) had only subretinal fluid, and 17% (3/18) had only a schisis-like cavity without subretinal fluid. In the patients managed by observation, visual acuity was &ge;20/200 in 6/8 eyes initially and 6/8 eyes at last follow-up. Ten of 18 patients received either focal laser, surgery or both. Six of 10 eyes undergoing surgery had initial visual acuity &ge; 20/200, and 8 of 10 eyes undergoing surgery had a visual acuity of &ge;20/200 at last follow-up.Conclusion: In this study, many eyes were observed and remained stable during follow-up. In eyes with reduced vision, surgical intervention produced variable outcomes, and persistent intraretinal/subretinal fluid was a common occurrence.Keywords: optic pit maculopathy, spectral-domain optical coherence tomographyTzu JHFlynn Jr HWBerrocal AMSmiddy WEMurray TGFisher YLDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2013, Iss default, Pp 167-172 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Tzu JH Flynn Jr HW Berrocal AM Smiddy WE Murray TG Fisher YL Clinical manifestations of optic pit maculopathy as demonstrated by spectral domain optical coherence tomography
description	Jonathan H Tzu, Harry W Flynn Jr, Audina M Berrocal, William E Smiddy, Timothy G Murray, Yale L FisherDepartment of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL, USAPurpose: The purpose of this retrospective study was to evaluate the characteristic features, including spectral-domain optical coherence tomography (SD-OCT), clinical course, and outcome of treatment if given for patients with optic disc pit maculopathy.Methods: We investigated a consecutive series of patients with a diagnosis of optic pit maculopathy treated between 2001 and 2012 at the Bascom Palmer Eye Institute. Patients were divided into two main groups, ie, patients who were observed without surgery and patients who received surgical intervention. The main outcome measures were presenting and final visual acuity, and changes in SD-OCT imaging were recorded. Other data including age, gender, eye, age of onset, length of follow-up, location of optic pit, and location of fluid by OCT were also recorded.Results: On OCT, 67% (12/18) of the eyes showed schisis-like cavities, 22% (4/18) had only subretinal fluid, and 17% (3/18) had only a schisis-like cavity without subretinal fluid. In the patients managed by observation, visual acuity was &ge;20/200 in 6/8 eyes initially and 6/8 eyes at last follow-up. Ten of 18 patients received either focal laser, surgery or both. Six of 10 eyes undergoing surgery had initial visual acuity &ge; 20/200, and 8 of 10 eyes undergoing surgery had a visual acuity of &ge;20/200 at last follow-up.Conclusion: In this study, many eyes were observed and remained stable during follow-up. In eyes with reduced vision, surgical intervention produced variable outcomes, and persistent intraretinal/subretinal fluid was a common occurrence.Keywords: optic pit maculopathy, spectral-domain optical coherence tomography
format	article
author	Tzu JH Flynn Jr HW Berrocal AM Smiddy WE Murray TG Fisher YL
author_facet	Tzu JH Flynn Jr HW Berrocal AM Smiddy WE Murray TG Fisher YL
author_sort	Tzu JH
title	Clinical manifestations of optic pit maculopathy as demonstrated by spectral domain optical coherence tomography
title_short	Clinical manifestations of optic pit maculopathy as demonstrated by spectral domain optical coherence tomography
title_full	Clinical manifestations of optic pit maculopathy as demonstrated by spectral domain optical coherence tomography
title_fullStr	Clinical manifestations of optic pit maculopathy as demonstrated by spectral domain optical coherence tomography
title_full_unstemmed	Clinical manifestations of optic pit maculopathy as demonstrated by spectral domain optical coherence tomography
title_sort	clinical manifestations of optic pit maculopathy as demonstrated by spectral domain optical coherence tomography
publisher	Dove Medical Press
publishDate	2013
url	https://doaj.org/article/e22cd59a541d4e4dbfff3a4b41672575
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Clinical manifestations of optic pit maculopathy as demonstrated by spectral domain optical coherence tomography

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