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Analysis of Pars Plana Vitrectomy for Optic Pit–Related Maculopathy With Intraoperative Optical Coherence Tomography

Analysis of Pars Plana Vitrectomy for Optic Pit–Related Maculopathy With Intraoperative Optical... SURGICAL TECHNIQUE SURGEON’S CORNER Analysis of Pars Plana Vitrectomy for Optic Pit–Related Maculopathy With Intraoperative Optical Coherence Tomography A Possible Connection With the Vitreous Cavity Justis P. Ehlers, MD; Kendal Kernstine, MS; Sina Farsiu, PhD; Neeru Sarin, MBBS; Ramiro Maldonado, MD; Cynthia A. Toth, MD ptimal management of optic pit–related maculopathy remains to be determined. The fluid source for the maculopathy also remains controversial. In this article, we pre- sent a unique surgical technique for internal drainage of the intraretinal fluid and O describe the intraoperative use of spectral-domain optical coherence tomography to assist in the surgical management of this condition. Pars plana vitrectomy was performed with el- evation of the posterior hyaloid. Following an air-fluid exchange, aspiration over the optic nerve pit was performed. Following aspiration, intraoperative spectral-domain optical coherence tomog- raphy demonstrated collapse of the retinoschisis, strongly suggesting a connection between the vitreous cavity and the intraretinal fluid. Arch Ophthalmol. 2011;129(11):1483-1486 Optic nerve pit–associated maculopathy In this study, we used a handheld in- continues to pose a significant manage- traoperative SD-OCT device (Bioptigen, ment challenge to clinicians. Optic pits are Research Triangle Park, North Carolina) a congenitally anomalous disc abnormal- to analyze the effects of surgical maneu- http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Ophthalmology American Medical Association

Analysis of Pars Plana Vitrectomy for Optic Pit–Related Maculopathy With Intraoperative Optical Coherence Tomography

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References (13)

Publisher
American Medical Association
Copyright
Copyright 2011 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6165
eISSN
2168-6173
DOI
10.1001/archophthalmol.2011.316
pmid
22084218
Publisher site
See Article on Publisher Site

Abstract

SURGICAL TECHNIQUE SURGEON’S CORNER Analysis of Pars Plana Vitrectomy for Optic Pit–Related Maculopathy With Intraoperative Optical Coherence Tomography A Possible Connection With the Vitreous Cavity Justis P. Ehlers, MD; Kendal Kernstine, MS; Sina Farsiu, PhD; Neeru Sarin, MBBS; Ramiro Maldonado, MD; Cynthia A. Toth, MD ptimal management of optic pit–related maculopathy remains to be determined. The fluid source for the maculopathy also remains controversial. In this article, we pre- sent a unique surgical technique for internal drainage of the intraretinal fluid and O describe the intraoperative use of spectral-domain optical coherence tomography to assist in the surgical management of this condition. Pars plana vitrectomy was performed with el- evation of the posterior hyaloid. Following an air-fluid exchange, aspiration over the optic nerve pit was performed. Following aspiration, intraoperative spectral-domain optical coherence tomog- raphy demonstrated collapse of the retinoschisis, strongly suggesting a connection between the vitreous cavity and the intraretinal fluid. Arch Ophthalmol. 2011;129(11):1483-1486 Optic nerve pit–associated maculopathy In this study, we used a handheld in- continues to pose a significant manage- traoperative SD-OCT device (Bioptigen, ment challenge to clinicians. Optic pits are Research Triangle Park, North Carolina) a congenitally anomalous disc abnormal- to analyze the effects of surgical maneu-

Journal

JAMA OphthalmologyAmerican Medical Association

Published: Nov 1, 2011

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