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New features identified in the pathogenesis of the optic nerve pit complicated of neuroepithelium detachment

Session Details

Session Title: Vitreoretinal Surgery II

Session Date/Time: Thursday 26/09/2013 | 14:30-16:00

Paper Time: 15:18

Venue: Hall 3 (Level 0)

First Author: Y.Bayborodov RUSSIA

Co Author(s):                  

Abstract Details

"Purpose:

Evaluate the effectiveness of the implementation of vitrectomy with removal of the ILM in the surgical treatment of complicated detachment neuroepithelium optic disc pits.

Setting:

We operated eight patients (9 eyes) with optic disc pit complicated detachment of the neuroepithelium.

Methods:

Central vitrectomy 25Ga, mercury light, dosed circular ILM removal with preservation foveolar fragment, air tamponade, without face-down position.

Results:

In 7 patients (8 eyes) with optic disc pit complicated detachment neuroepithelium were observed after surgery. According to the dynamic high-definition OCT (8 eyes) - 1 year after surgery, there was a complete resorption of subretinal fluid and foveolar cysts with recovery of visual acuity to 1.0 in two patients. The high visual acuity was due to complete recovery of IS-OS line according to OCT image. During surgery it was found that the entrance of the optic disc pit has a barrier in the form of valves, which work while intraocular pressure changing.

Conclusions:

Full recovery of visual acuity in patients with complicated optic nerve pit occurs after removal of the ILM 1 year after surgery. The valve mechanism of the optic disc pit participate in the liquid flow regulation.

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