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December 26, 2019

Inner Retinal Dimpling After Endophthalmitis and Vitrectomy Without Internal Limiting Membrane Peeling

Author Affiliations
  • 1Kellogg Eye Center, Department of Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor
JAMA Ophthalmol. 2020;138(2):218-221. doi:10.1001/jamaophthalmol.2019.5061

Shallow dimples or pits of the retinal surface, aligned with the macular nerve fiber layer, develop in a high proportion of eyes following internal limiting membrane (ILM) peeling.1 Multiple pathogenic mechanisms for this finding have been hypothesized, including Müller cell damage and repair, direct trauma from surgical instruments, and retinal toxicity from visualization dyes.2 We present a case of inner retinal dimpling after endophthalmitis and vitrectomy without ILM peeling and discuss how this observation provides further insight into the pathophysiology of this phenomenon.

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