Advantages:

To present the results of vitrectomy, laser and arcuate ILM peeling at the temporal margin of the optic nerve and air tamponade.

Methods:

9 patients with symptopatic maculopathy associated with optic disc pit were treated between 2008 and 2011. Surgical technique consisted of central vitrectomy, posterior hyaloid detachment, laser treatment at the temporal margin of the optic disc and ILM peeling at the temporal margin of the optic disc. Air tamponade was used. Spectral domain optical coherence tomography (SD- OCT) was performed before surgery and during the follow- up.

Results:

All patients were successfully healed, but time duration until complete healing lasted between three and twelve months. Mean visual acuity improved from 0,1 to 0,35. SD- OCT showed slow healing, combined with regeneration of the photoreceptor layer.

Take home message:

Arcuate ILM peeling at the temporal margin of the optic disc pit provokes intraretinal gliosis and therefore produces a barrier for spreading of fluid the retina tissue. This leads to subsequent healing process and regeneration of retina tissue.