Management of Optic Disk Pit–associated Macular Detachment With Tisseel Fibrin Sealant

In Brief Background: Optic disk pit–associated macular detachment is a challenging condition to treat. Many surgical methods have been used to treat this condition with varying degrees of success. Methods: We managed optic disk pit–associated macular detachment in three cases with pars plana vitrectomy, fluid–air exchange, drainage of subretinal fluid through the optic disk pit, application of Tisseel fibrin sealant (Baxter Healthcare Corporation, CA) to the optic disk pit, C3F8 gas injection, and postoperative prone positioning. Results: All three patients maintained flat maculae and had improved vision. Patient 3 had postoperative macular hole formation. This was managed successfully with pars plana vitrectomy, internal limiting membrane peeling, fluid–air exchange, and C3F8 gas injection. Conclusion: Our case series suggest that Tisseel fibrin sealant in conjunction with pars plana vitrectomy can be used successfully for management of optic pit disk–associated macular detachments. Cases of macular detachment associated with optic disk pit were managed successfully with use of Tisseel fibrin sealant (Baxter Healthcare Corporation, CA) during pars plana vitrectomy. Application of fibrin glue as an adjunct may be useful to treat these difficult cases.