Case #37 – RRD Secondary to Horseshoe Tears

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References Jones, William "Chapter 6: Retinal Detachment." Peripheral ocular fundus. St. Louis, MO.: Elsevier Butterworth-Heinemann, 2007. 192-98. Sinawat, Suthasinee, Tanapat Ratanapako, Thuss Sanguansak, Sirinada Prompol, Malinee Laopaiboon, and Yosanan Yospaiboon. "Air vs Perfluoropropane Gas in Pneumatic Retinopexy: A Randomized Noninferiority Trial." Archives of ophthalmology 128 (2010): 1243-247. Mitry, D., J. Singh, D. Yorston, MA

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Jerome Sherman, OD, FAAO Jerome Sherman, O.D., is perhaps optometry's most prolific writer, publishing over 650 clinical articles, research manuscripts, book chapters and two CDs. He is senior author of three books that were published in 2007, and has delivered over three thousand lectures both nationally and internationally. He has served as a

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Comments and Conclusions In the US, the annual incidence of rhegmatogenous (rhegma means to rend or tear) retinal detachment (RRD) is approximately 12 per 100,000 in the white population with an increase in frequency over the age of 50.1 Patients with over 8 diopters of myopia make up 1% of the general population but

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Case 2: Optomap® Color Fundus Images OS The tear was treated later that day and optomap® images were again obtained the following day as shown above. Within several weeks to months, the white circular lesion will become pigmented.

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Case 2: Optomap® Color Fundus Images OS A 55-year-old asymptomatic male who attended the recent Vision Source meeting in Houston was imaged on the exhibition floor. A retinal tear was detected in the left eye at 3 o'clock. A retinal surgeon attending the meeting opined that the tear needed to be treated and

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Case 1: Optomap® Color Fundus Images OS The two tears OS were previously treated with laser. The patient is presently being followed very carefully with both DFE and optomap® images in each eye.

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Case 1: Optomap® Color Fundus Image OD Note the dramatic change in the appearance of the retina following the injection and later absorption of the gas.

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Case 1: Optomap® Color Fundus Images OD Optomap® of the RRD (upper left) and the subsequent images of the gas as it slowly absorbs over a 4 week period.

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