Department of Ophthalmology, National Institute of Ophthalmology, Pune, Maharashtra, India.
Indian J Ophthalmol. 2023 Feb;71(2):674. doi: 10.4103/ijo.IJO_2000_22.
Optic disc pit-associated maculopathy (ODP-M) is a rare presentation in children. Therefore, only a few pediatric cases successfully managed have been reported in the literature. This video shows successful management of ODP-M with human amniotic membrane graft in a pediatric case presenting with recurrence with intraoperative optical coherence tomography (OCT).
To demonstrate a successful management of ODP-M with human amniotic membrane graft in a pediatric case presenting with recurrence.
A 13-year-old patient who had been previously operated with 25-G pars plana vitrectomy with double internal limiting membrane peel and juxtapapillary endolaser with SF 6 gas tamponade for optic disc pit-associated maculopathy (ODP-M) presented with recurrence 9 months after primary surgery. Three 25-G sclerotomies were made and human amniotic membrane graft was tucked into the ODP; the position of the graft was confirmed with intraoperative ocular coherence tomography. Subretinal fluid rapidly resolved within 48 h and best-corrected visual acuity improved to 0.5 logMAR after one week. Later follow-ups showed no complications or recurrence.
This video shows successful management of ODP-M with human amniotic membrane graft in a pediatric case presenting with recurrence with intraoperative optical coherence tomography (OCT), without any additional tamponade.
视盘小凹相关黄斑病变（ODP-M）在儿童中较为罕见。因此，文献中仅报道了少数成功治疗的儿科病例。本视频展示了一例儿童 ODP-M 病例，该病例在术中光学相干断层扫描（OCT）检查时发现复发，采用人羊膜移植成功治疗。
展示一例儿童 ODP-M 病例复发，采用人羊膜移植成功治疗。
一名 13 岁患者曾因视盘小凹相关黄斑病变（ODP-M）接受过 25-G 经睫状体平坦部玻璃体切除术，术中行双层内界膜剥除术，并在视盘旁行周边部光凝，同时行 SF 6 气体眼内填充。术后 9 个月，该患者复发。在该患者的 3 个 25-G 巩膜造口处，将人羊膜移植到 ODP 中；并用术中眼相干断层扫描确认移植片的位置。术后 48 小时内视网膜下液迅速消退，一周后最佳矫正视力提高至 0.5 logMAR。随后的随访未发现任何并发症或复发。
本视频展示了一例儿童 ODP-M 病例复发，采用人羊膜移植成功治疗，术中未行额外的眼内填充。
