RRD Secondary to Horseshoe Tears – Page 14 of 24
Case 1: Optomap® Color Fundus Image OD Note the laser burns surrounding the two retinal tears.
RRD Secondary to Horseshoe Tears – Page 13 of 24
Case 1: Optomap® Color Fundus Image OD
RRD Secondary to Horseshoe Tears – Page 12 of 24
Case 1: Optomap® Color Fundus Image OD The gas injected into the vitreal cavity expands and acts as a tamponade causing the elevated retina to assume its normal position in close proximity to the RPE.
RRD Secondary to Horseshoe Tears – Page 11 of 24
Case 1: Optomap® Color Fundus Image OD
RRD Secondary to Horseshoe Tears – Page 10 of 24
Case 1: Resmax superimposed on Optomap® Widefield The optomap® image above reveals a bullous elevation of the semi-transparent retina into the vitreal cavity. It appears somewhat green because the green laser light is scattered more than the red laser light. Note the many retinal folds within the RRD. That same day, the patient was
RRD Secondary to Horseshoe Tears – Page 9 of 24
Case 1: Optomap® Color Fundus Image OD As the vitreal hemorrhage absorbed, much of it drifted to the inferior vitreal cavity and lost its red color due to the transformation of hemosiderin into ferritin or the dehemoglobinization blood.
RRD Secondary to Horseshoe Tears – Page 8 of 24
Case 1: Optomap® Color Fundus Image OD Over the next several weeks, the vitreal hemorrhage absorbed rather rapidly and BCVA improved. However, approximately one month after the vitreal hemorrhage she returned complaining of seeing a "shadow" OD for the last two days. BCVA measured 20/60 OD and 20/25 OS. The image above reveals
RRD Secondary to Horseshoe Tears – Page 7 of 24
Case 1: Optomap® Color Fundus Image OD and B—scan Ultrasound The zone delineated by the dotted line is a large vitreal hemorrhage. B-scan ultrasound was performed that day. The scattered debris, noted above, is due to the vitreal hemorrhage but no continuous vitreal membrane consistent with retinal detachment was observed. The
RRD Secondary to Horseshoe Tears – Page 6 of 24
Case 1: Optomap® Color Fundus Images OD Three months later she presented with a sudden visual loss OD noted early that same day. BCVA measured hand motion at 2 feet OD and 20/25 OS. A large vitreal hemorrhage was found in the right eye. The superior temporal retinal tear that was treated was
RRD Secondary to Horseshoe Tears – Page 5 of 24
Case I: Optomap® Color Fundus Images OD She was diagnosed with 1 retinal tear and 1 retinal hole OD and 2 retinal tears OS. The three retinal tears in both eyes were treated with laser and the presumed retinal hole/small tear in the right was carefully monitored.