Optic disc pit macular serous detachment recurrence. A surgical approach using ILM autograph

Abstract

AbstractPurpose: We aim to present a surgical approach for optic disc pit macular serous detachment recurrence, using pars plana vitrectomy (PPV) and internal limiting membrane (ILM) autograft.Methods: Case report – Description of the surgical technique and presentation of the outcome.Results: A 55 year‐old female patient referred to our clinic's Vitreoretinal Department complained of reduced visual acuity at the right eye. On clinical examination, optic disc pit, cystic maculopathy and serous detachment were noted. The patient reported a history of vitrectomy for optic pit macular detachment on the same eye 25 years ago. To manage the recurrent macular detachment, she underwent a vitrectomy, during which the ILM was removed, and part of it used as an autograft on the optic disc pit. Mild endophotocoagulation on the area of the maculopapular bundle was performed, and gas endotamponade was utilized. On follow‐up examinations, a continuous improvement in serous detachment and visual acuity was noted.Conclusions: In cases with recurrent macular serous detachment due to optic disc pit maculopathy, PPV combined with ILM autograft, endophotocoagulation and gas tamponade seems to be a promising technique with satisfactory anatomical and functional improvement.