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Advantages:

To demonstrate an effective technique towards successful optic pit surgery.

Methods:

17 eyes were operated on between 1999-2013 17 eyes with vitrectomy, PVD, ILM-peeling, laser around the pit and gas tamponade. Follow-up was 42-3610 days (median 762). OCT-imaging was available for 11 cases (2003 and later). Two examples (including a video clip) of an acute and chronic optic pit cases are shown.

Effectiveness/safety:

In all cases macular detachment was diminished or resolved completely. Time for resolution of SRF sometimes took up to one year. Thus, indication for re-intervention in case of persistent or residual SRF (e.g. additional laser, gas) should be considered carefully. Noteworthy, one case showed a late recurrence 6 years after primary successful surgery.

Take home message:

Optic pit surgery using the above mentioned technique carries a high chance of anatomic and functional improvement.