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  5. VT0223 – Human amniotic membrane graft – Managing optic disc pit maculopathy.

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Dr. GAGAN BHATIA

, Dr. DARAIUS SHROFF, Dr.Shroff Cyrus Minoo, Dr.SANDEEP KUMAR

Abstract

To demonstrate the technique and results of Human Amniotic Membrane Grafting in a case of optic disc pit.

To illustrate the technique of HAM grafting with macular sparing ILM peel in a case of optic disc pit . OCT based measurement of the pit was done. A skin trephine was used to fashion the optimum graft size. Bimanual handling and a good placement of the graft for closure of the pit . Complete resolution of the NSD on post operative day 1. OCT based follow up along with microperitmery showed no reoccurance over the follow up period of 3 months.

Conclusions: Optic disc pit surgery has always been controversial with various techniques being described over the years. Persistent Fluid or late resolution and recurrences have lead to doubts on the perfect procedure for disc pits. Human Amniotic Membrane Grafting seems a promising solution, leading to a complete closure of the pit with fast and complete resolution of the NSD. This in turn lead to better Anatomical and Visual gain .

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