Late recurrence of myopic foveoschisis after successful repair with primary vitrectomy and incomplete membrane peeling

Abstract

Purpose: To report three cases of late recurrence of myopic foveoschisis (MF) after initial successful repair with pars plana vitrectomy and membrane peeling to assess the importance of internal limiting membrane peeling.

Methods: A retrospective noncomparative case series was performed of patients who underwent a primary pars plana vitrectomy by a single surgeon with successful resolution of MF, but eventually underwent repeat pars plana vitrectomy for recurrent MF. Best-corrected visual acuity, fundus photography, and optical coherence tomography were obtained at each examination.

Results: Three eyes of three patients underwent pars plana vitrectomy for recurrent MF. Myopic foveoschisis recurrence occurred 6, 3.5, and 12 years after the primary vitrectomy, respectively. Repeat vitrectomy with staining and additional peeling of the internal limiting membrane resulted in good anatomical outcome and stabilization of visual acuity in all cases.

Conclusion: Late recurrence of MF after successful primary vitrectomy is described. Fibrocellular proliferation on residual cortical vitreous or incomplete internal limiting membrane peeling during the initial vitrectomy may underlie recurrence.

Figure 1

Case 1. Fundus photograph of the left eye (A) one month after pars plana vitrectomy (PPV) for myopic foveoschisis (MF) shows myopic maculopathy with posterior staphyloma, myopic conus and a tilted optic disc. Time-domain optical coherence tomograph (OCT, B) shows a flat macula with no evidence of MF, macular hole or residual traction. Fundus photograph of the left eye (C) 6 years after a primary PPV shows myopic maculopathy with posterior staphyloma, myopic conus and a tilted optic disc. Spectral-domain (SD) OCT (D) 6 years after a primary PPV shows recurrence of MF, a lamellar hole, and an epiretinal membrane (arrow). Four months after a second PPV there was a complete resolution of MF by SD-OCT (E), which remained stable at 20 months (F).

Figure 1

Case 1. Fundus photograph of the left eye (A) one month after pars plana vitrectomy (PPV) for myopic foveoschisis (MF) shows myopic maculopathy with posterior staphyloma, myopic conus and a tilted optic disc. Time-domain optical coherence tomograph (OCT, B) shows a flat macula with no evidence of MF, macular hole or residual traction. Fundus photograph of the left eye (C) 6 years after a primary PPV shows myopic maculopathy with posterior staphyloma, myopic conus and a tilted optic disc. Spectral-domain (SD) OCT (D) 6 years after a primary PPV shows recurrence of MF, a lamellar hole, and an epiretinal membrane (arrow). Four months after a second PPV there was a complete resolution of MF by SD-OCT (E), which remained stable at 20 months (F).

Figure 1

Case 1. Fundus photograph of the left eye (A) one month after pars plana vitrectomy (PPV) for myopic foveoschisis (MF) shows myopic maculopathy with posterior staphyloma, myopic conus and a tilted optic disc. Time-domain optical coherence tomograph (OCT, B) shows a flat macula with no evidence of MF, macular hole or residual traction. Fundus photograph of the left eye (C) 6 years after a primary PPV shows myopic maculopathy with posterior staphyloma, myopic conus and a tilted optic disc. Spectral-domain (SD) OCT (D) 6 years after a primary PPV shows recurrence of MF, a lamellar hole, and an epiretinal membrane (arrow). Four months after a second PPV there was a complete resolution of MF by SD-OCT (E), which remained stable at 20 months (F).

Figure 1

Case 1. Fundus photograph of the left eye (A) one month after pars plana vitrectomy (PPV) for myopic foveoschisis (MF) shows myopic maculopathy with posterior staphyloma, myopic conus and a tilted optic disc. Time-domain optical coherence tomograph (OCT, B) shows a flat macula with no evidence of MF, macular hole or residual traction. Fundus photograph of the left eye (C) 6 years after a primary PPV shows myopic maculopathy with posterior staphyloma, myopic conus and a tilted optic disc. Spectral-domain (SD) OCT (D) 6 years after a primary PPV shows recurrence of MF, a lamellar hole, and an epiretinal membrane (arrow). Four months after a second PPV there was a complete resolution of MF by SD-OCT (E), which remained stable at 20 months (F).

Figure 1

Case 1. Fundus photograph of the left eye (A) one month after pars plana vitrectomy (PPV) for myopic foveoschisis (MF) shows myopic maculopathy with posterior staphyloma, myopic conus and a tilted optic disc. Time-domain optical coherence tomograph (OCT, B) shows a flat macula with no evidence of MF, macular hole or residual traction. Fundus photograph of the left eye (C) 6 years after a primary PPV shows myopic maculopathy with posterior staphyloma, myopic conus and a tilted optic disc. Spectral-domain (SD) OCT (D) 6 years after a primary PPV shows recurrence of MF, a lamellar hole, and an epiretinal membrane (arrow). Four months after a second PPV there was a complete resolution of MF by SD-OCT (E), which remained stable at 20 months (F).

Figure 1

Case 1. Fundus photograph of the left eye (A) one month after pars plana vitrectomy (PPV) for myopic foveoschisis (MF) shows myopic maculopathy with posterior staphyloma, myopic conus and a tilted optic disc. Time-domain optical coherence tomograph (OCT, B) shows a flat macula with no evidence of MF, macular hole or residual traction. Fundus photograph of the left eye (C) 6 years after a primary PPV shows myopic maculopathy with posterior staphyloma, myopic conus and a tilted optic disc. Spectral-domain (SD) OCT (D) 6 years after a primary PPV shows recurrence of MF, a lamellar hole, and an epiretinal membrane (arrow). Four months after a second PPV there was a complete resolution of MF by SD-OCT (E), which remained stable at 20 months (F).

Figure 2

Case 2. Fundus photograph of the right eye (OD) at presentation (A) shows myopic maculopathy with a posterior staphyloma, myopic conus and a tilted optic disc. Spectral domain optical coherence tomograph (SD-OCT, B) shows myopic foveoschisis (MF) with an epiretinal membrane, but without macular hole (MH) or associated retinal detachment. SD-OCT two months after pars plana vitrectomy (PPV, C) shows residual MF. OD fundus photograph (D) and SD-OCT (E) 13 months after primary PPV shows almost complete resolution of MF with persistence of MF only in the temporal aspect and minimal ellipsoidal layer defect subfoveally. SD-OCT (Cirrus) 42 months after primary PPV (F) shows MF recurrence. SD-OCT (Spectralis) 42 months after primary PPV (G) shows MF recurrence with residual epiretinal tissue (arrows). Fundus photograph four months after the second PPV (H) was similar to the clinical appearance 13 months after the primary PPV (D). SD-OCT (Cirrus) four months after secondary PPV (I) shows resolution of foveoschisis, which was maintained at 1 year (J).

Figure 2

Case 2. Fundus photograph of the right eye (OD) at presentation (A) shows myopic maculopathy with a posterior staphyloma, myopic conus and a tilted optic disc. Spectral domain optical coherence tomograph (SD-OCT, B) shows myopic foveoschisis (MF) with an epiretinal membrane, but without macular hole (MH) or associated retinal detachment. SD-OCT two months after pars plana vitrectomy (PPV, C) shows residual MF. OD fundus photograph (D) and SD-OCT (E) 13 months after primary PPV shows almost complete resolution of MF with persistence of MF only in the temporal aspect and minimal ellipsoidal layer defect subfoveally. SD-OCT (Cirrus) 42 months after primary PPV (F) shows MF recurrence. SD-OCT (Spectralis) 42 months after primary PPV (G) shows MF recurrence with residual epiretinal tissue (arrows). Fundus photograph four months after the second PPV (H) was similar to the clinical appearance 13 months after the primary PPV (D). SD-OCT (Cirrus) four months after secondary PPV (I) shows resolution of foveoschisis, which was maintained at 1 year (J).

Figure 2

Case 2. Fundus photograph of the right eye (OD) at presentation (A) shows myopic maculopathy with a posterior staphyloma, myopic conus and a tilted optic disc. Spectral domain optical coherence tomograph (SD-OCT, B) shows myopic foveoschisis (MF) with an epiretinal membrane, but without macular hole (MH) or associated retinal detachment. SD-OCT two months after pars plana vitrectomy (PPV, C) shows residual MF. OD fundus photograph (D) and SD-OCT (E) 13 months after primary PPV shows almost complete resolution of MF with persistence of MF only in the temporal aspect and minimal ellipsoidal layer defect subfoveally. SD-OCT (Cirrus) 42 months after primary PPV (F) shows MF recurrence. SD-OCT (Spectralis) 42 months after primary PPV (G) shows MF recurrence with residual epiretinal tissue (arrows). Fundus photograph four months after the second PPV (H) was similar to the clinical appearance 13 months after the primary PPV (D). SD-OCT (Cirrus) four months after secondary PPV (I) shows resolution of foveoschisis, which was maintained at 1 year (J).

Figure 2

Case 2. Fundus photograph of the right eye (OD) at presentation (A) shows myopic maculopathy with a posterior staphyloma, myopic conus and a tilted optic disc. Spectral domain optical coherence tomograph (SD-OCT, B) shows myopic foveoschisis (MF) with an epiretinal membrane, but without macular hole (MH) or associated retinal detachment. SD-OCT two months after pars plana vitrectomy (PPV, C) shows residual MF. OD fundus photograph (D) and SD-OCT (E) 13 months after primary PPV shows almost complete resolution of MF with persistence of MF only in the temporal aspect and minimal ellipsoidal layer defect subfoveally. SD-OCT (Cirrus) 42 months after primary PPV (F) shows MF recurrence. SD-OCT (Spectralis) 42 months after primary PPV (G) shows MF recurrence with residual epiretinal tissue (arrows). Fundus photograph four months after the second PPV (H) was similar to the clinical appearance 13 months after the primary PPV (D). SD-OCT (Cirrus) four months after secondary PPV (I) shows resolution of foveoschisis, which was maintained at 1 year (J).

Figure 2

Case 2. Fundus photograph of the right eye (OD) at presentation (A) shows myopic maculopathy with a posterior staphyloma, myopic conus and a tilted optic disc. Spectral domain optical coherence tomograph (SD-OCT, B) shows myopic foveoschisis (MF) with an epiretinal membrane, but without macular hole (MH) or associated retinal detachment. SD-OCT two months after pars plana vitrectomy (PPV, C) shows residual MF. OD fundus photograph (D) and SD-OCT (E) 13 months after primary PPV shows almost complete resolution of MF with persistence of MF only in the temporal aspect and minimal ellipsoidal layer defect subfoveally. SD-OCT (Cirrus) 42 months after primary PPV (F) shows MF recurrence. SD-OCT (Spectralis) 42 months after primary PPV (G) shows MF recurrence with residual epiretinal tissue (arrows). Fundus photograph four months after the second PPV (H) was similar to the clinical appearance 13 months after the primary PPV (D). SD-OCT (Cirrus) four months after secondary PPV (I) shows resolution of foveoschisis, which was maintained at 1 year (J).

Figure 2

Case 2. Fundus photograph of the right eye (OD) at presentation (A) shows myopic maculopathy with a posterior staphyloma, myopic conus and a tilted optic disc. Spectral domain optical coherence tomograph (SD-OCT, B) shows myopic foveoschisis (MF) with an epiretinal membrane, but without macular hole (MH) or associated retinal detachment. SD-OCT two months after pars plana vitrectomy (PPV, C) shows residual MF. OD fundus photograph (D) and SD-OCT (E) 13 months after primary PPV shows almost complete resolution of MF with persistence of MF only in the temporal aspect and minimal ellipsoidal layer defect subfoveally. SD-OCT (Cirrus) 42 months after primary PPV (F) shows MF recurrence. SD-OCT (Spectralis) 42 months after primary PPV (G) shows MF recurrence with residual epiretinal tissue (arrows). Fundus photograph four months after the second PPV (H) was similar to the clinical appearance 13 months after the primary PPV (D). SD-OCT (Cirrus) four months after secondary PPV (I) shows resolution of foveoschisis, which was maintained at 1 year (J).

Figure 2

Case 2. Fundus photograph of the right eye (OD) at presentation (A) shows myopic maculopathy with a posterior staphyloma, myopic conus and a tilted optic disc. Spectral domain optical coherence tomograph (SD-OCT, B) shows myopic foveoschisis (MF) with an epiretinal membrane, but without macular hole (MH) or associated retinal detachment. SD-OCT two months after pars plana vitrectomy (PPV, C) shows residual MF. OD fundus photograph (D) and SD-OCT (E) 13 months after primary PPV shows almost complete resolution of MF with persistence of MF only in the temporal aspect and minimal ellipsoidal layer defect subfoveally. SD-OCT (Cirrus) 42 months after primary PPV (F) shows MF recurrence. SD-OCT (Spectralis) 42 months after primary PPV (G) shows MF recurrence with residual epiretinal tissue (arrows). Fundus photograph four months after the second PPV (H) was similar to the clinical appearance 13 months after the primary PPV (D). SD-OCT (Cirrus) four months after secondary PPV (I) shows resolution of foveoschisis, which was maintained at 1 year (J).

Figure 2

Case 2. Fundus photograph of the right eye (OD) at presentation (A) shows myopic maculopathy with a posterior staphyloma, myopic conus and a tilted optic disc. Spectral domain optical coherence tomograph (SD-OCT, B) shows myopic foveoschisis (MF) with an epiretinal membrane, but without macular hole (MH) or associated retinal detachment. SD-OCT two months after pars plana vitrectomy (PPV, C) shows residual MF. OD fundus photograph (D) and SD-OCT (E) 13 months after primary PPV shows almost complete resolution of MF with persistence of MF only in the temporal aspect and minimal ellipsoidal layer defect subfoveally. SD-OCT (Cirrus) 42 months after primary PPV (F) shows MF recurrence. SD-OCT (Spectralis) 42 months after primary PPV (G) shows MF recurrence with residual epiretinal tissue (arrows). Fundus photograph four months after the second PPV (H) was similar to the clinical appearance 13 months after the primary PPV (D). SD-OCT (Cirrus) four months after secondary PPV (I) shows resolution of foveoschisis, which was maintained at 1 year (J).

Figure 2

Case 2. Fundus photograph of the right eye (OD) at presentation (A) shows myopic maculopathy with a posterior staphyloma, myopic conus and a tilted optic disc. Spectral domain optical coherence tomograph (SD-OCT, B) shows myopic foveoschisis (MF) with an epiretinal membrane, but without macular hole (MH) or associated retinal detachment. SD-OCT two months after pars plana vitrectomy (PPV, C) shows residual MF. OD fundus photograph (D) and SD-OCT (E) 13 months after primary PPV shows almost complete resolution of MF with persistence of MF only in the temporal aspect and minimal ellipsoidal layer defect subfoveally. SD-OCT (Cirrus) 42 months after primary PPV (F) shows MF recurrence. SD-OCT (Spectralis) 42 months after primary PPV (G) shows MF recurrence with residual epiretinal tissue (arrows). Fundus photograph four months after the second PPV (H) was similar to the clinical appearance 13 months after the primary PPV (D). SD-OCT (Cirrus) four months after secondary PPV (I) shows resolution of foveoschisis, which was maintained at 1 year (J).

Figure 2

Case 2. Fundus photograph of the right eye (OD) at presentation (A) shows myopic maculopathy with a posterior staphyloma, myopic conus and a tilted optic disc. Spectral domain optical coherence tomograph (SD-OCT, B) shows myopic foveoschisis (MF) with an epiretinal membrane, but without macular hole (MH) or associated retinal detachment. SD-OCT two months after pars plana vitrectomy (PPV, C) shows residual MF. OD fundus photograph (D) and SD-OCT (E) 13 months after primary PPV shows almost complete resolution of MF with persistence of MF only in the temporal aspect and minimal ellipsoidal layer defect subfoveally. SD-OCT (Cirrus) 42 months after primary PPV (F) shows MF recurrence. SD-OCT (Spectralis) 42 months after primary PPV (G) shows MF recurrence with residual epiretinal tissue (arrows). Fundus photograph four months after the second PPV (H) was similar to the clinical appearance 13 months after the primary PPV (D). SD-OCT (Cirrus) four months after secondary PPV (I) shows resolution of foveoschisis, which was maintained at 1 year (J).

Figure 3

Case 3. Right eye (OD) macular time domain optical coherence tomography (OCT) shows foveoschisis with no signs of macular hole or retinal detachment (A). OCT 10 months after primary PPV shows a flat macula (B). OD fundus photograph 7 years after primary PPV (C) shows myopic maculopathy with posterior staphyloma, myopic conus, tilted optic disc and two posterior scars along the inferotemporal arcade. OD OCT 7 years postoperative (D) shows a flat macula with no evidence of myopic foveoschisis (MF) or residual traction. OD fundus photograph 12 years postoperative (E) was unchanged in comparison to 7 years (C), however, SD-OCT 12 years postoperative (F) revealed MF, with evident epiretinal tissue in the nasal aspect of the scan (arrow), but without signs of macular hole or associated retinal detachment. Fundus photograph five months after secondary PPV (G) was similar to the clinical appearance 7 years after the primary PPV (C). SD-OCT (H) at five months after secondary PPV shows resolution of MF, which was stable at 20 months postoperative (I).

Figure 3

Case 3. Right eye (OD) macular time domain optical coherence tomography (OCT) shows foveoschisis with no signs of macular hole or retinal detachment (A). OCT 10 months after primary PPV shows a flat macula (B). OD fundus photograph 7 years after primary PPV (C) shows myopic maculopathy with posterior staphyloma, myopic conus, tilted optic disc and two posterior scars along the inferotemporal arcade. OD OCT 7 years postoperative (D) shows a flat macula with no evidence of myopic foveoschisis (MF) or residual traction. OD fundus photograph 12 years postoperative (E) was unchanged in comparison to 7 years (C), however, SD-OCT 12 years postoperative (F) revealed MF, with evident epiretinal tissue in the nasal aspect of the scan (arrow), but without signs of macular hole or associated retinal detachment. Fundus photograph five months after secondary PPV (G) was similar to the clinical appearance 7 years after the primary PPV (C). SD-OCT (H) at five months after secondary PPV shows resolution of MF, which was stable at 20 months postoperative (I).

Figure 3

Case 3. Right eye (OD) macular time domain optical coherence tomography (OCT) shows foveoschisis with no signs of macular hole or retinal detachment (A). OCT 10 months after primary PPV shows a flat macula (B). OD fundus photograph 7 years after primary PPV (C) shows myopic maculopathy with posterior staphyloma, myopic conus, tilted optic disc and two posterior scars along the inferotemporal arcade. OD OCT 7 years postoperative (D) shows a flat macula with no evidence of myopic foveoschisis (MF) or residual traction. OD fundus photograph 12 years postoperative (E) was unchanged in comparison to 7 years (C), however, SD-OCT 12 years postoperative (F) revealed MF, with evident epiretinal tissue in the nasal aspect of the scan (arrow), but without signs of macular hole or associated retinal detachment. Fundus photograph five months after secondary PPV (G) was similar to the clinical appearance 7 years after the primary PPV (C). SD-OCT (H) at five months after secondary PPV shows resolution of MF, which was stable at 20 months postoperative (I).

Figure 3

Case 3. Right eye (OD) macular time domain optical coherence tomography (OCT) shows foveoschisis with no signs of macular hole or retinal detachment (A). OCT 10 months after primary PPV shows a flat macula (B). OD fundus photograph 7 years after primary PPV (C) shows myopic maculopathy with posterior staphyloma, myopic conus, tilted optic disc and two posterior scars along the inferotemporal arcade. OD OCT 7 years postoperative (D) shows a flat macula with no evidence of myopic foveoschisis (MF) or residual traction. OD fundus photograph 12 years postoperative (E) was unchanged in comparison to 7 years (C), however, SD-OCT 12 years postoperative (F) revealed MF, with evident epiretinal tissue in the nasal aspect of the scan (arrow), but without signs of macular hole or associated retinal detachment. Fundus photograph five months after secondary PPV (G) was similar to the clinical appearance 7 years after the primary PPV (C). SD-OCT (H) at five months after secondary PPV shows resolution of MF, which was stable at 20 months postoperative (I).

Figure 3

Case 3. Right eye (OD) macular time domain optical coherence tomography (OCT) shows foveoschisis with no signs of macular hole or retinal detachment (A). OCT 10 months after primary PPV shows a flat macula (B). OD fundus photograph 7 years after primary PPV (C) shows myopic maculopathy with posterior staphyloma, myopic conus, tilted optic disc and two posterior scars along the inferotemporal arcade. OD OCT 7 years postoperative (D) shows a flat macula with no evidence of myopic foveoschisis (MF) or residual traction. OD fundus photograph 12 years postoperative (E) was unchanged in comparison to 7 years (C), however, SD-OCT 12 years postoperative (F) revealed MF, with evident epiretinal tissue in the nasal aspect of the scan (arrow), but without signs of macular hole or associated retinal detachment. Fundus photograph five months after secondary PPV (G) was similar to the clinical appearance 7 years after the primary PPV (C). SD-OCT (H) at five months after secondary PPV shows resolution of MF, which was stable at 20 months postoperative (I).

Figure 3

Case 3. Right eye (OD) macular time domain optical coherence tomography (OCT) shows foveoschisis with no signs of macular hole or retinal detachment (A). OCT 10 months after primary PPV shows a flat macula (B). OD fundus photograph 7 years after primary PPV (C) shows myopic maculopathy with posterior staphyloma, myopic conus, tilted optic disc and two posterior scars along the inferotemporal arcade. OD OCT 7 years postoperative (D) shows a flat macula with no evidence of myopic foveoschisis (MF) or residual traction. OD fundus photograph 12 years postoperative (E) was unchanged in comparison to 7 years (C), however, SD-OCT 12 years postoperative (F) revealed MF, with evident epiretinal tissue in the nasal aspect of the scan (arrow), but without signs of macular hole or associated retinal detachment. Fundus photograph five months after secondary PPV (G) was similar to the clinical appearance 7 years after the primary PPV (C). SD-OCT (H) at five months after secondary PPV shows resolution of MF, which was stable at 20 months postoperative (I).

Figure 3

Case 3. Right eye (OD) macular time domain optical coherence tomography (OCT) shows foveoschisis with no signs of macular hole or retinal detachment (A). OCT 10 months after primary PPV shows a flat macula (B). OD fundus photograph 7 years after primary PPV (C) shows myopic maculopathy with posterior staphyloma, myopic conus, tilted optic disc and two posterior scars along the inferotemporal arcade. OD OCT 7 years postoperative (D) shows a flat macula with no evidence of myopic foveoschisis (MF) or residual traction. OD fundus photograph 12 years postoperative (E) was unchanged in comparison to 7 years (C), however, SD-OCT 12 years postoperative (F) revealed MF, with evident epiretinal tissue in the nasal aspect of the scan (arrow), but without signs of macular hole or associated retinal detachment. Fundus photograph five months after secondary PPV (G) was similar to the clinical appearance 7 years after the primary PPV (C). SD-OCT (H) at five months after secondary PPV shows resolution of MF, which was stable at 20 months postoperative (I).

Figure 3

Case 3. Right eye (OD) macular time domain optical coherence tomography (OCT) shows foveoschisis with no signs of macular hole or retinal detachment (A). OCT 10 months after primary PPV shows a flat macula (B). OD fundus photograph 7 years after primary PPV (C) shows myopic maculopathy with posterior staphyloma, myopic conus, tilted optic disc and two posterior scars along the inferotemporal arcade. OD OCT 7 years postoperative (D) shows a flat macula with no evidence of myopic foveoschisis (MF) or residual traction. OD fundus photograph 12 years postoperative (E) was unchanged in comparison to 7 years (C), however, SD-OCT 12 years postoperative (F) revealed MF, with evident epiretinal tissue in the nasal aspect of the scan (arrow), but without signs of macular hole or associated retinal detachment. Fundus photograph five months after secondary PPV (G) was similar to the clinical appearance 7 years after the primary PPV (C). SD-OCT (H) at five months after secondary PPV shows resolution of MF, which was stable at 20 months postoperative (I).

Figure 3

Case 3. Right eye (OD) macular time domain optical coherence tomography (OCT) shows foveoschisis with no signs of macular hole or retinal detachment (A). OCT 10 months after primary PPV shows a flat macula (B). OD fundus photograph 7 years after primary PPV (C) shows myopic maculopathy with posterior staphyloma, myopic conus, tilted optic disc and two posterior scars along the inferotemporal arcade. OD OCT 7 years postoperative (D) shows a flat macula with no evidence of myopic foveoschisis (MF) or residual traction. OD fundus photograph 12 years postoperative (E) was unchanged in comparison to 7 years (C), however, SD-OCT 12 years postoperative (F) revealed MF, with evident epiretinal tissue in the nasal aspect of the scan (arrow), but without signs of macular hole or associated retinal detachment. Fundus photograph five months after secondary PPV (G) was similar to the clinical appearance 7 years after the primary PPV (C). SD-OCT (H) at five months after secondary PPV shows resolution of MF, which was stable at 20 months postoperative (I).