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OPHTHALMIC IMAGE
Year : 2021  |  Volume : 1  |  Issue : 1  |  Page : 19

”Sunny-side up egg with red-sauce” appearance at macula


Department of Ophthalmology, All India Institute of Medical Sciences (AIIMS), Rishikesh, Uttarakhand, India

Date of Web Publication31-Dec-2020

Correspondence Address:
Dr. Ramanuj Samanta
Department of Ophthalmology, All India Institute of Medical Sciences (AIIMS), Rishikesh - 249 203, Uttarakhand
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_2128_20

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How to cite this article:
Sood G, Samanta R, Kumawat D, Agrawal A, Singh A. ”Sunny-side up egg with red-sauce” appearance at macula. Indian J Ophthalmol Case Rep 2021;1:19

How to cite this URL:
Sood G, Samanta R, Kumawat D, Agrawal A, Singh A. ”Sunny-side up egg with red-sauce” appearance at macula. Indian J Ophthalmol Case Rep [serial online] 2021 [cited 2021 Feb 26];1:19. Available from: https://www.ijoreports.in/text.asp?2021/1/1/19/305517



A 35-year-old hypertensive male, follow-up case of left eye macular branch retinal vein occlusion (RVO), presented with progressive diminution of vision in the same eye for 6-months. Fundus and ancillary imaging [Figure 1]a, [Figure 1]b, [Figure 1]c showed massive premacular fibrosis, subretinal exudation and surface neovascularization mimicking “Sunny-side up egg with red-sauce” appearance.
Figure 1: Fundus photograph (a) showing disc-collateral, tortuous vesssels and disciform epiretinal fibrosis at macula with large surface neovascular fronds simulating a peculiar “Sunny-side up egg with red-sauce” appearance. Red-free image (b) clearly delineated the superficial lesion and optical coherence tomography (c) showed epiretinal hyperreflective structure with vitreomacular adhesion and subfoveal clump of hard-exudates

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Although secondary epiretinal fibrosis is more common following surgery, less common non-surgical causes include blunt ocular trauma, uveitis and RVO.[1],[2],[3] We presume organization of blood from the new vessels along with proliferation, fibrous metaplasia and contraction of residual hyalocytes beneath the posterior hyaloid face contributed to this unique presentation in this case.

Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Ciulla TA, Pesavento RD. Epiretinal fibrosis. Ophthalmic Surg Lasers 1997;28:670-9.  Back to cited text no. 1
    
2.
Appiah AP, Hirose T. Secondary causes of premacular fibrosis. Ophthalmology 1989;96:389-92.  Back to cited text no. 2
    
3.
Machemer RO. Pathogenesis and classification of massive periretinal proliferation. Br J Ophthalmol 1978;62:737-47.  Back to cited text no. 3
    


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