UNIVERSITY OPHTHALMOLOGY CONSULTANTS
 

CASE OF THE MONTH

CASE #8

 
WHAT ARE THE ECHOGRAPHIC FINDINGS?
Elongated globe. Phakic eye. The vitreous cavity presents medium reflective, mobile, point- and membrane-like echoes. A highly reflective retinal membrane with limited aftermovement is seen in the inferotemporal quadrant extending between the 5:30-o’clock and the 7:30-o’clock meridian at the equator, with its highest elevation at the 7:30-o’clock position. This membrane does not present any retinal tears or traction. Behind it are low reflective, mobile, point-like echoes with adjacent thickening of the choroid. Macula presents cystic thickening of the retinal-choroidal layer. No scleral rupture is observed. The optic nerve head is found in the posterior scleral depression. The orbital fat pattern is within normal limits.

DIAGNOSTIC IMPRESSION OD

  • 1. Posterior staphyloma
  • 2. Phakic globe
  • 3. Vitreous hemorrhage
  • 4. Inferotemporal retinal detachment
  • 5. Macular edema vs hemorrhage
  • 6. Diffuse choroidal thickening of the posterior pole (hemorrhage)
Schematic drawing of retinal detachment YELLOW: Areas of thickening at the macula and choroid adjacent to the retinal detachment

BLUE: Retinal detachment

 

How should the patient be treated?

 

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