A 4-year-old boy was referred with visual acuity of 20/400 in his right eye. Examination
revealed tortuous vasculature, retinal thickening with macular fibrosis, and underlying
retinal pigment epithelial changes. Over time, the patient developed dense vitreal
foveal traction causing the development of significant tractional subretinal fluid
(Figs. A and B). A 3-port 23-gauge pars plana vitrectomy with removal of the posterior
hyaloid, peeling of the internal limiting membrane toward the intraretinal fibrosis,
and insertion of 17% perfluoropropane gas was performed. Following surgery, vision
improved to 20/150, and the subretinal fluid had completely resolved (Figs. C and D).
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Article Info
Publication History
Published online: July 06, 2022
Accepted:
June 8,
2022
Received:
May 11,
2022
Publication stage
In Press Uncorrected ProofIdentification
Copyright
© 2022 Canadian Ophthalmological Society. Published by Elsevier Inc. All rights reserved.
