Diappearance of Myelinated Retinal Nerve Fiber After Par Plana Vitrectomy

Purpoe To decribe a cae of extramacular myelinated retinal nerve fiber diappearing after par plana vitrectomy for an epiretinal membrane and macular edema. Deign Interventional cae report. Method A 61-year-old African-American man with extramacular myelinated retinal nerve fiber underwent par plana vitrectomy for an epiretinal membrane. A poterior vitreou detachment wa preent preoperatively. Humidified air wa ued. A ga bubble wa placed for an intraoperative macular hole. Reult Nine month after urgery, the myelinated retinal nerve fiber had diappeared. Concluion Lo of myelinated retinal nerve fiber may occur after vitreoretinal urgery. Poible mechanim include potoperative nerve fiber layer atrophy or ichemia.