PREMATURE CLOSURE OF INNER RETINAL FENESTRATION IN THE TREATMENT OF OPTIC DISK PIT MACULOPATHY

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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.

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