Spectral-domain optical coherence tomography imaging of macula-off rhegmatogenous retinal detachment
A 49-year-old Caucasian woman presented with history of floaters in the right eye for 3 weeks and decreased vision for 1 day. Past ocular history was significant for bilateral LASIK (Laser-Assisted in situ Keratomileusis) for myopia 10 years prior.\nOphthalmic examination revealed best-corrected visual acuity of 20/200 in the right eye and 20/20 in the left eye. No relative afferent pupillary defect was noted. Intraocular pressure was 16 mmHg in both eyes. The posterior segment examination demonstrated a bullous rhegmatogenous retinal detachment caused by a superior horseshoe tear (). SD-OCT showed extensive subretinal fluid, with bullous elevation of the fovea ().\nThe patient underwent a successful scleral buckling procedure with placement of 0.5 cm3 of 100% SF6 (sulfur hexafluoride) gas. One month after surgery the patient’s best-corrected visual acuity in the right eye was 20/40 (). SD-OCT revealed intact foveal contour with normal-appearing inner segment ellipsoid layer ().