Chronic central serous chorioretinopathy with vitreomacular traction: Surgical management

Abstract

An elderly man with poor vision in both eyes presented with a clinical picture suggestive of bilateral chronic central serous chorioretinopathy, which was confirmed by autofluorescence imaging. Optical coherence tomography revealed a cystoid maculopathy with coexistent vitreomacular traction in the right eye and foveal atrophy in the left eye. The patient subsequently followed up only after a year, when the vitreous traction had worsened into a full-thickness macular hole in the right eye. Vitrectomy with internal limiting membrane flap inversion helped to recover the macular anatomy and function in the only treatable eye of the patient despite the chronic background degenerative disease.