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Advantages:

To evaluate visual and anatomical outcomes after surgical treatment of serous macular detachment associated with optic disc pit without using laser photocoagulation or internal limiting membrane peeling.

Methods:

5 eyes of 5 patients with serous macular detachment associated with congenital optic disc pit have been evaluated. Optical coherence tomography (SD-OCT) and mean best corrected visual acuity (BCVA) were evaluated before and after surgery. Alle eyes underwent complete pars plana vitrectomy (25-gauge or 23-gauge), posterior hyaloid removal and 12% C3F8 intraocular tamponade. At no time eyes underwent laser photocoagulation or internal limiting membrane peeling.

Effectiveness / safety:

After surgery SD-OCT showed complete subretinal and intraretinal macular fluid absence in 4 eyes. Full-thickness macular hole was noticed in 1 patient 3 weeks postoperatively. BCVA improved significantly following the surgical procedure, maintaining good vision throughout the follow-up in all patients except the one with macular hole. BCVA improved at least to 20/100 and one eye only reached 20/30. Better functional results were observed in patients who underwent earlier surgical treatment.