Diagnostic and Therapeutic Challenges.

A 66-year-old woman underwent uncomplicated cataract surgery in her left eye. She presented to the clinic 2 days later with sudden reduction in vision in the same eye. She was emmetropic preoperatively with a visual acuity of 6/12. On examination, visual acuity was 6/18 on the left eye. Intraocular pressure and anterior segment examination findings were normal on both eyes. Posterior segment examination was normal for the right eye. The left eye had foveal striae (Figure 1A) and a localized area of retinal detachment mid-peripherally in the inferotemporal quadrant. Optic nerve head was normal, and there was no evidence of vitreomacular traction and no retinal tear or hole was identified. There was complete resolution of the macular retinoschisis after 1 week. Fundus fluorescein angiogram (Figure 1) and optical coherence tomography (OCT) (Figure 2) are presented for discussion.