Retina

Case 35

Patient Presentation: A 77-year-old female presented for her 1-month follow-up following left eye pneumatic retinopexy treatment for retinal detachment. Although her retina appears re-attached on fundus examination, she reports that her vision remains distorted. Her vision was 20/20 OD and 20/30 OS. Her OS Optos wide-field image and OCT macula is shown below:

Retina 35-1.png
Retina 35-2.png

Question: What abnormality is seen on the OCT above?

Retina 35-4.png

Question: The patient returned 6-months later following her pneumatic retinopexy surgery. The patient noted no improvement in her vision and continued to endorse blurriness OS. Her vision remained 20/20 OD and 20/30 OS. Her OS OCT is shown below. What abnormality is shown in the OCT?

Learning Objectives:

1. Recognize persistent sub-retinal fluid as a potential complication in retinal detachment repair

2. Appreciate the brush-border appearance to occur in the setting of chronic subretinal fluid