Spontaneous separation of preretinal macular fibrosis.

A dart entered the eye of a 6-year-old boy causing a retinal hole located inferotemporal to the macula. The retinal hole was treated with an argon laser, and two months after the injury, tissue organization in the vitreous track created by the dart caused a limited retinal separation and stress lines. A preretinal fibrosis developed above and temporal to the macula, and visual acuity decreased to 6/60 (20/200). Four months after the injury, the preretinal membrane spontaneously separated from the macula to an extramacular nidus, and visual acuity subsequently improved to 6/9 (20/30).