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| OPHTHALMIC IMAGE |
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| Year : 2021 | Volume
: 1
| Issue : 1 | Page : 19 |
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”Sunny-side up egg with red-sauce” appearance at macula
Gitanjli Sood, Ramanuj Samanta, Devesh Kumawat, Ajai Agrawal, Anupam Singh
Department of Ophthalmology, All India Institute of Medical Sciences (AIIMS), Rishikesh, Uttarakhand, India
| Date of Web Publication | 31-Dec-2020 |
Correspondence Address:
Dr. Ramanuj Samanta
Department of Ophthalmology, All India Institute of Medical Sciences (AIIMS), Rishikesh - 249 203, Uttarakhand
India
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/ijo.IJO_2128_20
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 27];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 | |  |
| 1. | Ciulla TA, Pesavento RD. Epiretinal fibrosis. Ophthalmic Surg Lasers 1997;28:670-9.  |
| 2. | Appiah AP, Hirose T. Secondary causes of premacular fibrosis. Ophthalmology 1989;96:389-92. |
| 3. | Machemer RO. Pathogenesis and classification of massive periretinal proliferation. Br J Ophthalmol 1978;62:737-47. |
[Figure 1]
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