Abstract
Purpose
To describe a unique case of no optic pit retinoschisis (NOPIR) associated with a tractional full-thickness macular hole (FTMH) in a patient with a presumed history of ocular toxoplasmosis.
Case report
A 65-year-old non-myopic Caucasian male with a presumed history of ocular toxoplasmosis reported sudden visual acuity decrease in his right eye (RE). His best-corrected visual acuity (BCVA) was 20/2000 in the RE. A fundus examination and optical coherence tomography (OCT) revealed a full-thickness macular hole (FTMH) associated with a macular epiretinal membrane, which originated from two extramacular chorioretinal scars. The patient underwent pars plana vitrectomy with epiretinal membrane peeling, flower-petal internal limiting membrane flap technique, and gas tamponade. After six months, his BCVA improved to 20/25, and the gradual but steady recovery after surgery was consistent with NOPIR.
Conclusions
Vitreoretinal surgery for macular retinoschisis complicated with tractional macular hole secondary to inflammatory epiretinal membrane resulted in optimal anatomic and functional recovery in 6 months.
Keywords
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