Correspondence Address:
Vinod Kumar
Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi
India

Full Text

A 42-year-old male presented with decreased vision in his right eye for 18 months. There was no history of wearing glasses or trauma. The best-corrected visual acuity was 1/60 and 6/6 in the right and left eyes, respectively. Anterior segment examination in the right eye was unremarkable apart from the presence of relative afferent pupillary defect. A dilated fundus examination in the left eye revealed no abnormality. Right eye fundus [Figure 1] showed the presence of inferior retinal detachment higher on the temporal side and involving the macula. In addition, the retina showed the presence of multiple retinal cysts, one at the macula and two at the inferotemporal periphery. A small atrophic retinal hole was seen at 6'o clock meridian near the ora serrata on indentation. The patient was diagnosed with old rhegmatogenous retinal detachment with multiple intraretinal macrocysts. The patient denied any treatment in view of guarded prognosis.{Figure 1}

Intraretinal macrocysts usually occur in patients with long-standing retinal detachments. They typically occur in the eyes with inferior dialysis/holes since the retinal detachment tends to progress slowly. These are formed in the outer plexiform layer of the retina. [1] These cysts do not require specific treatment and tend to resolve on their own after retinal reattachment. [2] In case cyst interferes with retinal reattachment, it can be drained surgically. [1]

The ultrawide field images were obtained using Optos imaging system (Optos PLC, Scotland, UK). It uses a scanning laser ophthalmoscope with two laser wavelengths scanning at 532 nm (for retina) and 633 nm (for choroid) for providing pseudo-color images covering up to 200° of the retina. [3] Anderson et al. [4] found this technology to be helpful in monitoring and documenting the cases with retinal detachment. The current case highlights the use of ultrawide field imaging in quick and easy documentation of peripheral retinal pathology, especially when patient has a poor central vision for fixation.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.

References