Aspergillus terreus postoperative endophthalmitis.

macular hole leading to a rhegmatogenous retinal detachment, as happened in our case. This was probably due to a defect of the outer retinal layer and to the vitreous traction which was exerted in the macular area by the residual vitreous strands. The retina reattachment was achieved with the application of the macular buckling technique without the use of any kind of energy.8 This technique, in addition to pneumatic retinopexy, vitrectomy plus fluid/air exchange, and vitrectomy plus silicone oil tamponade, constitutes the techniques currently recommended for the management of retinal detachment caused by macular holes.'-'3 The fact that no serous macular detachment occurred within the 41/2 years after the intervention should be attributed to the maintenance of the macular scleral buckle and to its extension right up to temporal margins of the optic nerve, thus preventing the fluid flow from the optic pit to the submacular space (Fig 3). This procedure should be an alternative solution for the management of secondary macular elevation caused by the pit of the optic disc.