PMC4284013_01
Intraoperative view of the extreme periphery showing severe snowbanking (arrow) (A) and of drainage of the subretinal fluid through the macular hole (B).. Notes: Vasculitis along the inferior temporal vascular arcade can be seen.
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Additionally, the pars planitis clinical features were re-established, including 360  snowbanking (Figure 1A), as well as severe peripheral periphlebitis with vascular sheathing and mild vitritis with snowballs. A brilliant blue-assisted complete, atraumatic, wide internal limiting membrane peeling was performed and the retina was flattened through the macular hole (Figure 1B) using a 23 G backflush cannula.
Twelve months postoperatively, the full-thickness macular hole was closed successfully and the retina remained attached.. Note: There are residual triamcinolone crystals at the macular hole.
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Twelve months postoperatively, the full-thickness macular hole was closed, the retina remained attached (Figure 2), and the best-corrected visual acuity improved to 6/36 Snellen.
Optical coherence tomography image depicting residual triamcinolone at the macular hole.
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Fundoscopy and optical coherence tomography showed the persistence of a small quantity of triamcinolone trapped at the previously opened macular hole (Figure 3).