Spectral-domain optical coherence tomography imaging of macula-off rhegmatogenous retinal detachment
A 57-year-old Latin American woman presented for evaluation of decreased vision in the right eye for 2 days. Past ocular history was significant for bilateral uncomplicated cataract extraction with intraocular lens placement 5 months prior and a retinal tear in the right eye, status post-laser retinopexy.\nOphthalmic examination revealed best-corrected visual acuity of 20/70 in the right eye and 20/20 in the left eye. No relative afferent pupillary defect was noted. Intraocular pressure was 15 mmHg in the right eye and 18 mmHg in the left eye. The posterior segment examination of the right eye revealed a shallow rhegmatogenous retinal detachment caused by two temporal horseshoe tears (). SD-OCT demonstrated temporal subretinal fluid extending under the fovea ().\nThe patient underwent pars plana vitrectomy with air-fluid exchange, endolaser, and placement of C3F8 (octafluoropropane) gas in the right eye 1 day after presentation. Postoperatively, the patient’s retina remained attached, and vision slowly improved. One year after surgery, the patient’s best-corrected visual acuity in the right eye was 20/20 (). SD-OCT revealed intact foveal contour with normal-appearing inner segment ellipsoid layer ().