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Case 3. Preoperative fundus photograph showing a temporally located optic disc pit with associated maculopathy (A). Spectral-domain optical coherent tomography (Spectralis, Heidelberg Engineering, Heidelberg, Germany) images through the macula obtained before (B), 2 months after (C), and 3 months after (D) first vitrectomy.
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A 34-year-old female with left optic disc pit-associated maculopathy and best-corrected visual acuity of 0.04 OS (Figure 1A and B) underwent a 23-gauge pars plana vitrectomy. Two months after the vitrectomy, optical coherence tomography revealed a decrease in central retinal thickness and resolution of cystic spaces, and best-corrected visual acuity improved to 0.3 OS; however, the macular hole remained open (Figure 1C). A second pars plana vitrectomy procedure with internal limiting membrane peeling and gas tamponade with sulfur hexafluoride successfully closed the macular hole (Figure 1D).
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Case 4. Preoperative fundus photograph showing an inferotemporally located optic disc pit with associated maculopathy (A). Spectral-domain optical coherent tomography images through the macula obtained before (B) and 13 months after (C) the vitrectomy.
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A 74-year-old male with right optic disc pit-associated maculopathy and best-corrected visual acuity of 0.7 OD underwent a 23-gauge pars plana vitrectomy (Figure 2A and B). Thirteen months postoperatively, intraretinal fluid was observed at the macula (Figure 2C), and best-corrected visual acuity was 0.5 OD.