Ron W Slocumb1, Mark W Johnson. 1. From the Kellogg Eye Center, University of Michigan School of Medicine, Ann Arbor, Michigan.
Abstract
PURPOSE: To describe the results of inner retinal fenestration surgery in a patient with chronic macular detachment secondary to an optic disk pit. METHODS: A 55-year-old woman had a chronic macular detachment secondary to an optic disk pit that was refractory to vitrectomy and laser photocoagulation. A partial thickness retinal fenestration that connected the schisis-like retinal cavity to the vitreous space was created surgically. RESULTS: One day after surgery, the fenestration was shown to be patent by optical coherence tomography (OCT). However, 3 weeks postoperatively, the OCT revealed a closed fenestration and persistent macular detachment. CONCLUSION: A surgically created inner retinal fenestration can close within 3 weeks of surgery without resolution of the macular detachment associated with an optic disk pit.
PURPOSE: To describe the results of inner retinal fenestration surgery in a patient with chronic macular detachment secondary to an optic disk pit. METHODS: A 55-year-old woman had a chronic macular detachment secondary to an optic disk pit that was refractory to vitrectomy and laser photocoagulation. A partial thickness retinal fenestration that connected the schisis-like retinal cavity to the vitreous space was created surgically. RESULTS: One day after surgery, the fenestration was shown to be patent by optical coherence tomography (OCT). However, 3 weeks postoperatively, the OCT revealed a closed fenestration and persistent macular detachment. CONCLUSION: A surgically created inner retinal fenestration can close within 3 weeks of surgery without resolution of the macular detachment associated with an optic disk pit.