title: Vitrectomy for bilateral macular schisis without apparent optic disc anomalies.
abstract: A 78-year-old man complained of bilateral visual acuity loss. Optical coherence tomography examination showed bilateral macular schisis with fluid accumulation in the external retinal layers without vitreous traction. Fundus examination and fluorescein angiography were normal in both eyes. Both eyes were treated by phacoemulsification, intraocular lens implantation, and vitrectomy without laser, gas exchange, or retinal fenestration. Slow and progressive fluid resorption and improvement in VA were observed in both eyes. Macular schisis similar to the one associated with optic disc anomalies is a possibility in patients without apparent disc anomalies. Vitrectomy without laser, gas, or retinal fenestration may be a good therapeutic option even in patients with a PVD preoperatively.
authors.affiliation: Department of Ophthalmology, Complejo Hospitalario de Navarra, Pamplona, Spain.
authors.forename: José
authors.initials: J
authors.lastname: Andonegui
authors.affiliation: Department of Ophthalmology, The Royal Wolverhampton NHS Trust, Wolverhampton, UK.
authors.forename: José Ramón
authors.initials: JR
authors.lastname: Maya
authors.affiliation: Department of Ophthalmology, Complejo Hospitalario de Navarra, Pamplona, Spain.
authors.forename: Marta
authors.initials: M
authors.lastname: Echeverría
authors.affiliation: Department of Ophthalmology, Complejo Hospitalario de Navarra, Pamplona, Spain.
authors.forename: Araceli
authors.initials: A
authors.lastname: Alcaine
keywords: macular schisis; optic disc; vitrectomy