Optic disc pit
Last updated: February 9th, 2022
Summary of Evidence
Incidence of maculopathy
The general incidence of maculopathy in optic disc pit (ODP) is 51%, and the rate of serous macular detachment and retinoschisis is 49% and 58%, respectively. {Meng L, Zhao X, Zhang W, Wang D, Chen Y. The characteristics of optic disc pit maculopathy and the efficacy of vitrectomy: a systematic review and meta-analysis. Acta Ophthalmol. 2021 Nov;99(7):e1176-e1189.}
Vitrectomy
There were no significant differences in outcomes among 6 different surgical techniques in the treatment of optic pit maculopathy. {Zheng A, Singh RP, Lavine JA. Surgical Options and Outcomes in the Treatment of Optic Pit Maculopathy: A Meta-analysis and Systematic Review. Ophthalmol Retina. 2020 Mar;4(3):289-299.}
- PPV alone
- PPV plus juxtapapillary laser treatment (JPL)
- PPV plus internal limiting membrane peeling (ILMP)
- PPV plus both ILMP and JPL
- PPV plus inner retinal fenestration
- PPV plus autologous platelet concentrate