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Year : 2022  |  Volume : 2  |  Issue : 1  |  Page : 140-141

Macular hole associated retinal detachment with focal choroidal excavation in myelinated nerve fibre syndrome

Department of Ophthalmology, Max Multi Speciality Centre, New Delhi, India

Correspondence Address:
Dr. Neha Goel
D-91, Third Floor, Anand Niketan, New Delhi - 110 021
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijo.IJO_702_21

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The Straatsma syndrome (STAS) consists of unilateral myelinated nerve fibers (MNF), high myopia, and amblyopia. This report describes a patient with total cataract and retinal detachment (RD) who underwent phacoemulsification with pars plana vitrectomy. Intraoperatively, a full-thickness macular hole (FTMH) and MNF were found. The internal limiting membrane peeling was carried out with a silicone oil tamponade. Postoperatively, the reduction in the extent of MNF was noted. The spectral-domain optical coherence tomography revealed type 1 closure of the FTMH with a focal choroidal excavation (FCE). To the best of our knowledge, this myriad of findings has not been reported in the STAS or in association with MNF.

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