Veronika Aslanova *, Nikolai Umanets, Olena Ivanitskaya (Odessa, Ukraine)

Advantages:

Pneumatic retinopexy in cases of optic nerve pit associated with serous macular detachment is the most minimally invasive surgery that can be successfully performed in this pathology.

Methods:

The results of pneumatic retinopexy in 6 patients (6 eyes) with congenital optic nerve pit and macular detachment were analyzed. Age of the patients was from 11 to 32 years. Visual acuity varied from 0.06 to 0.1. All patients underwent intravitreal injection of 100 % perfluoropropane (0.7-0.8 ml) followed by face down positioning for 3 weeks.

Effectiveness / Safety:

Next day after surgery media was clear in all cases. In 3 cases significant flattening of macula was observed and retinal reattachment in macular area was also seen in 3 cases. One month after the procedure retina was attached in all cases. Visual acuity was 0.3-0.7. After 6,12 and 15 months anatomical results remained stable and functional results made up – 0.5-1,0.

Take home message:

Pneumatic retinopexy is an effective, atraumatic and cost effective method in management of patients with optic nerve pit and macular detachment. Therefore, it can be used as an alternative to vitrectomy or scleral buckling procedure in this pathology.