Case 21

Patient Presentation: A 63-year-old male presented to the ophthalmology office with a 2 month history of decreased vision in his left eye. On examination, his vision is CF in the left eye. Slit lamp examination was normal. Dilated fundus examination revealed the diagnosis. An OCT macula was performed revealing the following:

Question: Based on the OCT, what is the diagnosis?

Question: What features on this OCT scan indicate that this is likely a chronic process?

Question: Surgery was performed. Post-operatively, his visual acuity was 20/200. The OCT below demonstrates the post-operative appearance of the retina. Based on the OCT, what are some potential visual prognostic findings?

Learning Objectives:

1. List OCT features that correlate with poor visual outcomes post-retinal detachment repair

2. Recognize macular hole as a cause of a rhegmatogenous retinal detachment

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