IVORC
  • Register
  • Login

Medical hypothesis, discovery & innovation in optometry

  1. Home
  2. Archives
  3. Vol. 2 No. 1 (2021): Spring 2021
  4. Articles

About the Journal

Editorial Team

Privacy Statement

Contact

Diagnostic and therapeutic approaches to optic disc pit maculopathy in children

  • Dimitrios Kalogeropoulos
  • Ioannis Asproudis
  • Soon Wai Ch'ng
  • Arijit Mitra
  • Ash Sharma
  • Konstantinos Katsikatsos
  • Christopher Asproudis
  • Chris Kalogeropoulos

Medical hypothesis, discovery & innovation in optometry, Vol. 2 No. 1 (2021), 16 June 2021 , Page 24-35
https://doi.org/10.51329/mehdioptometry122 Published 16 June 2021

  • View Article
  • Download
  • Share

Abstract

Background: Optic disc pit (ODP) is a rare congenital defect of the optic disc that can lead to maculopathy and gradual visual impairment. This review summarizes our current knowledge on the diagnostic and therapeutic approaches to ODP maculopathy (ODP-M) in children.
Methods: A thorough literature search was performed using the PubMed/MEDLINE database from 1960 to 2020. An additional search was conducted using Google Scholar for completeness.
Results: ODP-M is characterized by the accumulation of subretinal and/or intraretinal fluid. The exact pathogenetic mechanisms are not fully understood, and the origin of the fluid remains unknown. Although ODP-M is more likely to occur during the third or fourth decade of life, cases of children with serous retinal detachment have been recorded. Early diagnosis of ODP-M and prompt, appropriate management are crucial, particularly in patients of amblyogenic age. In adults, ODP-M may resolve spontaneously, but most cases require surgical intervention to prevent permanent loss of vision. However, the fact that ODP-M may spontaneously resolve in children cannot be ignored. Various surgical methods have been described, including pars plana vitrectomy (PPV) combined with various techniques, including laser photocoagulation, intravitreal gas injection, and macular buckling.
Conclusions: PPV remains the mainstay surgical approach for ODP-M. However, ODP-M may differ between children and adults. Children constitute a unique population of patients that require a different and probably more tailor-made approach. Detailed clinical examination, combined with a thorough analysis of retinal imaging, may improve our understanding of the background and pathophysiology of the disease and eventually provide us with new insights into the management of ODP-M in the pediatric population.
Keywords:
  • congenital anomalies
  • optic disc pit
  • optic disc pit maculopathy
  • retinal imaging
  • surgical treatment
  • pars plana vitrectomy
  • Full Text PDF
  • Abstract Viewed: 263 times
  • Full Text PDF Downloaded: 0 times

Download Statastics

  • Linkedin
  • Twitter
  • Facebook
  • Google Plus
  • Telegram
Make a Submission
Information
  • For Readers
  • For Authors
  • For Librarians
  • Home
  • Archives
  • Submissions
  • About the Journal
  • Editorial Team
  • Contact

This is an open-access journal distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0).
© Copyright 2020-2023, CC BY-NC 4.0. All Rights Reserved.

Medical Hypothesis, Discovery & Innovation in Optometry
ISSN 2693-8391