Infliximab-associated third nerve palsy.

traoperatively. No attempt was made to drain the subretinal fluid, and no laser photocoagulation was performed. No retinal breaks were identified. The vitreous cavity was filled with 20% sulfur hexafluoride gas and the patient maintained face-down positioning for 1 week. One week postoperatively, the retinal detachment had resolved, and the visual acuity improved to 20/ 200 OD. At the 1 month visit, the visual acuity remained 20/200 OD, and the macular contour had improved (Figure 3A). Optical coherence tomography showed foveal cysts, but the subretinal fluid was gone (Figure 3B). Shortly thereafter, the patient complained of sudden vision loss in the left eye. The visual acuity was counting fingers at 2 ft OS. The clinical appearance was very similar to the initial examination of the right eye, showing a shallow posterior pole retinal detachment with outer retinal corrugations and inner retinal cysts, with no visible retinal breaks. The patient underwent a pars plana vitrectomy, mechanical separation of the hyaloid, and gas tamponade with 20% sulfur hexafluoride gas in this eye. One week later, the visual acuity had improved to 20/200, and the subretinal fluid had resorbed, but the foveal cysts remained. At the 3-month postoperative visit for the left eye (4 months after surgery in the right eye), the visual acuity had improved to 20/100 OD and 20/60 OS. The retina remained flat and attached in both eyes, with optical coherence tomography showing an overall decrease in the amount of detachment and a decrease in the foveal cysts in the left eye.