Background/Purpose Inverted Inner Limiting Membrane (ILM)-flap approach can fail in the treatment of Optic disc pit maculopathy (ODPM). We report a surgical technique involving human amniotic membrane (hAM) patch implant to treat unresolved ODPM after inverted (ILM)-flap technique. Case Report One patient with decreased visual acuity (1 LogMar) after unsuccessful inverted ILM-flap technique to treat ODPM, underwent hAM patch implant and was evaluated. A surgical approach including a 2 mm size graft patch of hAM implantation over the optic disc pit followed by fluid-air exchange was performed. A gas endotamponade was finally used. The patient was instructed to maintain face-down position for the first three days after surgery. The hAM patch remained detectable over the pit for the entire 6-months follow-up. The ODPM gradually resolved and visual acuity partially recovered to 0.17 LogMar during follow-up. No postoperative complications or recurrence were reported. Conclusion hAM patch implant may be effective to manage ODPM after unsuccessful inverted ILM-flap.

Management of unresolved optic disc pit maculopathy with human amniotic membrane patch implant: A case report / Boscia, Giacomo; Sborgia, Giancarlo; Niro, Alfredo; Dore, Stefano; Landini, Luca; Scotti, Giacomo; Boscia, Francesco. - In: EUROPEAN JOURNAL OF OPHTHALMOLOGY. - ISSN 1120-6721. - (2023), p. 11206721231159692. [10.1177/11206721231159692]

Management of unresolved optic disc pit maculopathy with human amniotic membrane patch implant: A case report

Boscia, Giacomo;Dore, Stefano;Boscia, Francesco
2023-01-01

Abstract

Background/Purpose Inverted Inner Limiting Membrane (ILM)-flap approach can fail in the treatment of Optic disc pit maculopathy (ODPM). We report a surgical technique involving human amniotic membrane (hAM) patch implant to treat unresolved ODPM after inverted (ILM)-flap technique. Case Report One patient with decreased visual acuity (1 LogMar) after unsuccessful inverted ILM-flap technique to treat ODPM, underwent hAM patch implant and was evaluated. A surgical approach including a 2 mm size graft patch of hAM implantation over the optic disc pit followed by fluid-air exchange was performed. A gas endotamponade was finally used. The patient was instructed to maintain face-down position for the first three days after surgery. The hAM patch remained detectable over the pit for the entire 6-months follow-up. The ODPM gradually resolved and visual acuity partially recovered to 0.17 LogMar during follow-up. No postoperative complications or recurrence were reported. Conclusion hAM patch implant may be effective to manage ODPM after unsuccessful inverted ILM-flap.
2023
Management of unresolved optic disc pit maculopathy with human amniotic membrane patch implant: A case report / Boscia, Giacomo; Sborgia, Giancarlo; Niro, Alfredo; Dore, Stefano; Landini, Luca; Scotti, Giacomo; Boscia, Francesco. - In: EUROPEAN JOURNAL OF OPHTHALMOLOGY. - ISSN 1120-6721. - (2023), p. 11206721231159692. [10.1177/11206721231159692]
File in questo prodotto:
Non ci sono file associati a questo prodotto.

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11388/308431
Citazioni
  • ???jsp.display-item.citation.pmc??? ND
  • Scopus 0
  • ???jsp.display-item.citation.isi??? 0
social impact