Spectral-domain optical coherence tomography imaging of macula-off rhegmatogenous retinal detachment
A 70-year-old Latin American woman presented for evaluation of decreased vision in the right eye for 3 days. Past ocular history was significant for bilateral uncomplicated cataract extraction with intraocular lens placement 4 months prior.\nOphthalmic examination revealed best-corrected visual acuity of 1/200 in the right eye and 20/20 in the left. A relative afferent pupillary defect was noted in the right eye. Intraocular pressure was 14 mmHg in both eyes. The posterior segment examination of the right eye demonstrated a bullous rhegmatogenous retinal detachment caused by a superotemporal horseshoe tear (). SD-OCT revealed marked elevation of the retina extending through the macula to the optic nerve ().\nThe patient underwent a scleral buckling procedure with cryotherapy 6 days after initial examination. The following day, 0.3 cm3 of 100% C3F8 (octafluoropropane) gas was placed in the right eye because of persistent subretinal fluid. Postoperatively, the patient’s retina remained attached, and vision slowly improved. Six months after successful retinal detachment surgery, the patient’s best-corrected visual acuity in the right eye was 20/60 (). SD-OCT revealed mild foveal atrophy in the outer nuclear layer, with mild disruption of the inner segment ellipsoid layer ().