Katargina LA, Denisova EV, Osipova NA* and Demchenko EN

Helmholtz National Medical Research Center of Eye Diseases, Moscow, Russia

*Corresponding Author: Osipova NA, Researcher of the Department of Eye Pathology of Children, Helmholtz National Medical Research Center of Eye Diseases, Moscow, Russia.

Received: February 21, 2023; Published: March 09, 2023

Abstract

Purpose: To analyze the anatomical and functional results of laser treatment of ODP-M in children.

Material and Methods: The object of the study was 17 children aged 5-16 years with an ODP-M. All children underwent barrier retinal laser coagulation (1-3 sessions): coagulants with a diameter of 200 microns of the 2nd degree were applied without gaps in 2-3 rows in the area of oedema and retinal detachment along the temporal edge of the optic disk from and to the adjacent retina. In addition to the standard ophthalmological examination, all children underwent optical coherence tomography (OCT) of the macula before and during the follow-up period ranged from 2 to 13 months.

Results: After barrier retinal laser coagulation, 10 children had a decrease in the elevation of the retina in the macular zone from 32 to 602 microns. According to OCT data, the "starting" value of the maximum elevation of the retina in the macula in this group averaged 525 ± 140 microns. Complete resorption of subretinal fluid was observed in 3 children for a period of 5 months to 1 year 3 months after the first laser coagulation. Best corrected visual acuity (BCVA) remained stable in 5 children, increased by 0.04-0.6 in 4 children, decreased by 0.1 in 1 child. There was no positive dynamics of resorption of subretinal and intraretinal fluid after barrier retinal laser coagulation in 7 children, and they underwent pars planum vitrectomy with gas tamponade. The "starting" value of the maximum elevation of the retina in the macula in this group averaged 811 ± 43 microns (p < 0.01).

Conclusion: The high efficiency of laser treatment of ODP-M in children with its certain quantitative parameters (maximum elevation of the retina in the macula is ≤525 microns) before treatment has been demonstrated.

Keywords: Optic Disc Pit; Macular Retinal Detachment; Retinal Barrier Laser Coagulation

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Citation

Citation: Osipova NA., et al. “Efficiency of Laser Treatment of Optic Disc Pit Maculopathy in Children”.Acta Scientific Medical Sciences 7.4 (2023): 63-67.

Copyright

Copyright: © 2022 Osipova NA., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.