Dr. LUTHRA SAURABH

, Dr.Shrutanjoy Mohan Das, Dr. SHREY MAHESHWARI, Dr. SHWETA PARAKH

Abstract

A 17 year old boy with optic disc pit maculopathy & gross NSD underwent 25G vitrectomy. During PVD induction, there was poor staining of pre-retinal cortical vitreous. During subsequent re-staining, there was inadvertent submacular triamcinolone injection. Most of the submacular IVTA was successfully aspirated through the pit with soft tip extrusion. Part of the residual submacular IVTA was gently massaged out through the pit into the optic cup using 25G loop. After staining with BBG, Juxtapapillary ILM was peeled & apposed onto the pit. At 6 months, BCVA improved to 6/36, fundus showed macular hyperpigmentation, speckled hypoautofluorescence & surrounding hyperautofluorescence. OCT showed closed optic disc pit, normal foveal contour & resolved subretinal fluid.

In certain anomalous variants of optic disc pit maculopathy, one may preempt the complication of submacular migration of IVTA & this may warrant cautious limited induction of PVD over the optic pit to prevent the complication.