Spectral-domain optical coherence tomography imaging of macula-off rhegmatogenous retinal detachment
A 50-year-old Caucasian woman presented with history of gradual decrease in vision in the right eye over several months. Past ocular history was significant for bilateral LASIK for myopia 1 year prior.\nOphthalmic examination revealed best-corrected visual acuity of 20/100 in the right eye and 20/15 in the left eye. No relative afferent pupillary defect was noted. Intraocular pressure was 10 mmHg in both eyes. The posterior segment examination demonstrated a rhegmatogenous retinal detachment caused by inferior retinal holes (). SD-OCT revealed shallow subretinal fluid extending under the fovea ().\nThe patient underwent a successful scleral buckling procedure with cryotherapy. At 3-month follow-up the patient’s best-corrected visual acuity in the right eye was 20/200 (). SD-OCT revealed intact foveal contour with disruption of the inner segment ellipsoid layer ().