Rhegmatogenous Retinal Detachment, Macula-Off
Contributor: Eric Chin, MD
Photographer: Cindy Montague, CRA
- A 62 year old female with a history of uncomplicated cataract surgery in both eyes, presented to the comprehensive clinic for decreased vision in the left eye since one day prior. She said her nasal field of vision had become abruptly and increasingly blurry while doing the laundry. She denied any flashes, floaters, or other complaints. She denied prior trauma or recent falls. She had no family history of retinal detachments.
- Vision: OD 20/25-3; OS 20/100+1
- IOP: 14 and 13
- Manifest refraction prior to cataract surgery:
- OD: -13.25 +0.75 045
- OS: -9.25 +0.50 040
- Slit lamp exam: Posterior chamber intraocular lenses and posterior capsular opacities, both eyes
- The patient underwent a scleral buckle, 25-gauge pars plana vitrectomy, laser indirect ophthalmoscopy, air-fluid exchange, and injection of 22% SF6, in the left eye.
- The right eye was also treated with prophylactic laser indirect ophthalmoscopy intraoperatively.
Risk Factors for Retinal Detachments
- High myopia*
- Co-morbid eye conditions, such as lattice degeneration*
- Prior eye surgery*
- Prior retinal detachment
- Family history of retinal detachment
*Risk factors seen in our patient are highlighted in bold.
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