Table 2.
A summary of the major published series of PPV treatments for ODP-M
| References | No. of cases | PPV gauge | Surgical technique | Main results | Complications |
|---|---|---|---|---|---|
| Taiel-Sartral et al. [64] | 10 | 20 | PPV+laser+gas | VA improved in 90% Mean VA improvement of 6.7 lines Complete resolution in 70% 1 recurrence (10%) |
None |
| García-Arumí et al. [67] | 11 | 20 | PPV+PVD+laser +gas | 82% gained ≥2 lines of VA Mean final VA 20/32 Complete resolution in all cases 2 recurrences (18%) |
None |
| Hirakata et al. [37] | 11 | 20 | PPV+PVD+gas | VA improved in 64% Complete resolution 91% Showed that laser may not be required for surgical success |
1 patient developed a dense inferotemporal scotoma 1 patient developed an area of retinal atrophy 1 patient had an intraoperative retinal break, treated with laser |
| Ghosh et al. [71] | 7 | 20 | PPV+PVD+laser +gas | 4 (57%) gained ≥2 lines of VA 4 (57%) required second procedure Silicone oil was successful in a refractive case |
1 patient developed postoperative glaucoma and cataract |
| Rizzo et al. [80] | 10 | 23/25 | PPV+PVD+ILMP +laser+gas | 70% gained ≥2 lines of VA Complete resolution in 50% First report with small gauge PPV |
1 complication—macular hole |
| Hirakata et al. [38] | 8 | 20/25 | PPV+PVD (no gas) | VA improved in 7 (88%) eyes Complete resolution in 88% Suggested that gas tamponade may be less important than induction of PVD |
None |
| Shukla et al. [81] | 7 | 23 | PPV+PVD+ILMP +laser+gas | 6 (86%) eyes gained ≥2 lines of VA Final VA ≥20/30 in 5 (71%) eyes |
4 eyes had full thickness macular holes at 1 month, but it closed in 3 of them 2 patients had transient elevated intraocular pressure 1 patient developed cataract |
| Avci et al. [83] | 13 | 23 | PPV+PVD+laser +gas | 11 (85%) eyes gained ≥2 lines of VA Final VA ≥20/40 in 6 (46%) eyes Complete resolution in 92% Suggests ILMP may not be required for surgical success |
2 patients developed cataracts |
| Gregory-Roberts et al. [39] | 9 | N/A | PPV+PVD+glial tissue removal+laser +gas | Complete resolution in 8 (89%) eyes Higher rate of complete resolution when glial tissue was removed over the pit |
1 patient developed cataract |
| Ooto et al. [90] | 18 | 25 | PPV+intraretinal fenestration | Complete resolution in 94% VA improved in all eyes 11 (61%) eyes gained ≥3 lines of VA Final VA ≥20/30 in 10 (56%) eyes |
None |
Presented are the only studies that included more than five patients with ODP-M that were treated using a uniform PPV technique. PPV pars plana vitrectomy, ODP-M optic disc pit maculopathy, PVD induction of posterior vitreous detachment, laser laser photocoagulation temporal to disc, gas gas tamponade, ILMP internal limiting membrane peeling and VA visual acuity.