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    Stuff-and-Seal Technique for Optic Disc Pit Maculopathy

    AAO 2023 Video Program
    Diagnostic & Imaging , Macular Disease, Retina/Vitreous

    Optic disc pit is a rare congenital anomaly of the optic disc that can be associated with maculopathy, defined by the concentration of intraretinal and subretinal fluid at the area of the macula, leading to progressive visual deterioration. The vast majority of cases are sporadic, and no obvious factors have been correlated with the development of maculopathy. Currently, there is no definite treatment for these patients, and several surgical methods have been described, including pars plana vitrectomy (PPV) (combined with various techniques, such as inner retinal fenestration, autologous fibrin and glial tissue removal), laser photocoagulation, intravitreal gas injection and macular buckling. This video features a step-by-step description of the "stuff-and-seal technique," enlightening some tips and pitfalls associated with the proposed method and expanding the therapeutic arsenal for this pathology.