Surgical management of macular retinoschisis associated with high myopia.

pletely in the left eye. The NVI disappeared, leaving no trace on clinical or fluorescein angiography, and intraocular pressures remained lower than 22 mm Hg. At 5 months’ followup, both eyes remained stable without NVI or glaucoma. Case 2. A 7-month-old girl was initially seen with bilateral leukocoria from bilateral advanced retinoblastoma. Both eyes showed retinal detachment, subretinal seeds, and large retinoblastomas measuring up to 14-mm base and 7-mm thickness in the right eye and 24-mm base and 13-mm thickness in the left eye. The left eye further displayed diffuse vitreous seeds overlying total retinal detachment (Figure 2). Additional NVI was detected in the left eye and intraocular pressures were 18 mm Hg in both eyes. There was no angle closure or iris ectropion related to the NVI and the anterior chamber depth was normal in both eyes. As an alternative to enucleation, she was treated with highdose chemoreduction as described earlier. Both eyes were also treated simultaneously with subconjunctival carboplatin for 3 cycles. At 1 month following initiation of therapy, the retinoblastomas regressed to a greatest dimension of 13-mm base and 3-mm thickness in the right eye and 14-mm base and 6-mm thickness in the left eye. The retinal detachment resolved completely in the right eye and partially in the left eye. The NVI disappeared based on clinical examination and fluorescein angiography. At 8 months’ follow-up, both eyes remained stable without NVI or glaucoma.