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Advantages:

To report the effectiveness of vitrectomy and adjunct procedures in the resolution of the serous retinal detachment secondary to optic pit.

Methods:

Eleven patients with macular detachment underwent three ports standard vitrectomy with induction of posterior vitreous detachment, ILM peeling, laser photocoagulation at the border of the pit and gas tamponade with postoperative facedown positioning for one week.

Effectiveness:

In all patients a complete resolution of the intraretinal fluid was shortly achieved whilst the subretinal fluid took much longer to disappear. The retinal re-attachment was followed by an improvement in visual acuity in all patients.

Take-home message:

The surgical approach with pars plana vitrectomy, ILM peeling and laser photocoagulation is successful in improving the anatomical and functional outcome in patients with optic pit maculopathy.