MACULAR HETEROTOPIA IN PROLIFERATIVE DIABETIC-RETINOPATHY

Macular heterotopia secondary to proliferative diabetic retinopathy ha s been previously reported in clinical cases. To our knowledge, we pre sent the first clinicopathologic case of macular heterotopia in a youn g patient with proliferative diabetic retinopathy. The significant pat hologic findings included dense fibrovascular tissue on the disc to co rrespond with nasal tractional retinal detachment, a superonasally dis placed fovea, and an area of stripped and recoiled internal limiting m embrane overlying a retinal fold. In addition, an area of reduplicated retinal pigment epithelium was noted corresponding to the clinically observed hyperpigmented area superior to the heterotopic fovea. Despit e the pathologic changes, the patient maintained 20/40 visual acuity w ith the heterotopic fovea for several years. The findings are discusse d in relation to previous clinical studies.