Purpose: To report the management of a case of rhegmatogenous retinal detachment associated with myelinated nerve fibers.
Methods: A 7-year-old boy presented with decreased vision in the right eye for 3 months. Fundus examination revealed total retinal detachment with a large break within the myelinated nerve fibers in the right eye. The right eye underwent pars plana vitrectomy, encirclage, relaxing retinotomy, endolaser, and C3F8 injection.
Results: The retina remained attached at the 6-month follow-up with visual acuity of 6/18, N10.
Conclusion: An area of the retina with myelinated nerve fiber is stiff and could potentially pose problems in retinal reattachment when a retinal break is located within the same area.