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

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.

Automated summary

We report a surgical technique involving human amniotic membrane (hAM) patch implant to treat unresolved Optic disc pit maculopathy (ODPM) after unsuccessful inverted Inner Limiting Membrane (ILM)-flap technique. The hAM patch remained detectable over the pit for the entire 6-months follow-up and the ODPM gradually resolved with partial visual acuity recovery.