, Dr.Shrutanjoy Mohan Das, Dr. SHREY MAHESHWARI, Dr. SANGEET MITTAL
Abstract
Purpose: To evaluate various modifications of ILM peeling in the management of optic disc pit maculopathy. Methods: Preoperatively BCVA, fundus photographs and OCT were recorded. Patients underwent IVTA assisted 25G vitrectomy, BBG dye assisted juxtapapillary (fovea-sparing) ILM peeling with either removal of peeled ILM, or apposition of peeled ILM over the optic pit, or 41G cannula drainage of macular neurosensory detachment in addition to apposition of peeled ILM, and air fluid exchange with C3F8 gas tamponade followed by postoperative face down positioning. Results: All patients showed complete resolution of macular neurosensory detachment and retinoschisis at 10 months, 18 months and 17 months follow-up respectively. The BCVA at last follow-up improved to 6/6, 6/9 and 6/9 respectively. Conclusion: All three modifications of ILM peeling successfully achieved closure of optic pit and complete resolution of macular neurosensory detachment and retinoschisis with good visual outcome.
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