Premature closure of inner retinal fenestration in the treatment of optic disk pit maculopathy.
OBJECTIVE
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.


CONCLUSIONS
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.
From the Kellogg Eye Center, University of Michigan School of Medicine, Ann Arbor, Michigan.
Ron W
RW
Slocumb
Mark W
MW
Johnson