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Title

Vitrectomy with heavy oil tamponade and peripapillary laser for serous maculopathy secondary to optic pit: a case series

Purpose	We present this technique used in our department for the repair of serous maculopathy, secondary to optic pits. In literature there is still no consensus regarding the best treatment of this condition.
Methods	Vitrectomy with heavy oil tamponade and gentle lasercoagulation at the border of the pit was performed.
Results	Nine eyes of nine patients were treated, all of which achieved anatomical success within 1 year after oil removal. Deterioration was prevented or better visual acuity achieved in 7 of 9 patients. Visual loss was seen in 2 patients; one related to macular hole formation, another due to a central artery occlusion in the perioperative period. Two cases had complications related to silicone oil emulsification;one case was medically controlled with no glaucomatous repercussion. The other case was refractory to medical treatment and needed anterior chamber rinsing for removal of emulsification bubbles and developed minor glaucomatous damage. We saw 2 late retinal detachments in the one year follow up after oil removal; these patients needed subsequent vitrectomy, none of these patients experienced visual loss.
Conclusion	A high rate of anatomical and visual success was achieved using this technique. When used, complications of heavy oil usage should be carefully monitored in view of its high emulsification rate. We experienced one dramatic case of central artery occlusion. Prevention of intra- and postoperative pressure spikes should always remain a concern in avoiding this devastating complication.

Authors 1

Last name	JANSEN
Initials	J
Department	University Hospitals Leuven
City	Leuven

Authors 2

Last name	Van Calster
Initials	J
Department	University Hospitals Leuven
City	Leuven

Authors 3

Last name	Stalmans
Initials	P
Department	University Hospitals Leuven
City	Leuven