Author reply

We appreciate the interest that Bottoni et al have expressed with regard to our article “Vitrectomy without laser treatment or gas tamponade for macular detachment associated with an optic disc pit.” Their findings using optical coherence tomography and fundus autofluorescence to follow the course of eyes with optic disc pit from preoperative macular detachment to complete retinal reattachment following vitrectomy with induction of posterior vitreous detachment and gas tamponade without peripapillary laser therapy are consistent with our previous reports. Because of the long time necessary for resolution of subretinal fluid in our series, we had hypothesized that gas tamponade may not be necessary. We showed that induction of a posterior vitreous detachment without gas tamponade was as effective as doing the same with gas tamponade. Treatment without gas or silicone oil tamponade avoids intraoperative and postoperative complications related to the tamponading agent.