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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-
JAMA Ophthalmology – American Medical Association
Published: Nov 1, 2011
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