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| OPHTHALMIC IMAGE |
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| Year : 2022 | Volume
: 2
| Issue : 3 | Page : 867 |
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Tigroid pattern on en-face optical coherence tomography in hypotony maculopathy
Ritesh Narula1, Harsh Kumar2, Surbi Taneja3, Yusra Asad1
1 Vitreoretinal Services, Centre for Sight, New Delhi, India
2 Glaucoma Services, Centre for Sight, New Delhi, India
3 Cataract and Glaucoma Services, Centre for Sight, New Delhi, India
| Date of Web Publication | 16-Jul-2022 |
Correspondence Address:
Dr. Yusra Asad
Fellow, Vitreoretinal Services, Centre for Sight, B-5/24, Safdarjung Enclave, Opposite Deer Park, New Delhi - 110 029
India
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/ijo.IJO_1875_21
How to cite this article:
Narula R, Kumar H, Taneja S, Asad Y. Tigroid pattern on en-face optical coherence tomography in hypotony maculopathy. Indian J Ophthalmol Case Rep 2022;2:867 |
How to cite this URL:
Narula R, Kumar H, Taneja S, Asad Y. Tigroid pattern on en-face optical coherence tomography in hypotony maculopathy. Indian J Ophthalmol Case Rep [serial online] 2022 [cited 2022 Aug 13];2:867. Available from: https://www.ijoreports.in/text.asp?2022/2/3/867/351130 |
Hypotony maculopathy is characterized by disc edema and/or folding of the retina and choroid, most often following glaucoma-filtering surgery.[1],[2],[3] A 32-year-old male with bilateral open-angle glaucoma presented with late bleb leakage following left trabeculectomy with mitomycin C. His Best Corrected Visual Acuity (BCVA) was 6/9 and Intraocular Pressure (IOP) was 5 mmHg. Fundus examination [Figure 1]a and optical coherence tomography (OCT) transverse scans showed folds in his retina and choroid [Figure 1]b, but their extent was best highlighted on en face OCT, which exhibited a classic “tigroid” pattern of chorioretinal folds [Figure 1]c and [Figure 1]d. He underwent bleb repair, following which the chorioretinal folds showed resolution [Figure 1]e. En face Spectral Domain Optical Coherence Tomography (SD-OCT) provides depth-resolved maps of the chorioretinal tissues, with insight into the location, pattern, temporal course, and underlying biomechanics, which can aid in early diagnosis of subclinical cases.[4],[5] | Figure 1: (a) Fundus photograph of the left eye showing disc edema and chorioretinal folds radiating from the disc toward the posterior pole. (b) OCT transverse radial scans showing infolding of the retina and Retinal Pigment Epithelium (RPE)–choriocapillaries complex. (c, d) OCT angiography and corresponding en face OCT scans highlighting the depth and extent of the chorioretinal folds in the characteristic “tigroid” pattern. (e) Fundus photograph after bleb revision procedure showing resolving disc edema and chorioretinal folds OCT = optical coherence tomography
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Financial support and sponsorship
Nil.
Conflicts of interest
There are no conflicts of interest.
| References | |  |
| 1. | Tsai J-C, Chang H-W, Kao C-N, Lai I-C, Teng M-C. Trabeculectomy with mitomycin C versus trabeculectomy alone for juvenile primary open-angle glaucoma. Ophthalmologica 2003;217:24-30.  |
| 2. | Kitazawa Y, Suemori-Matsushita H, Yamamoto T, Kawase K. Low-dose and high-dose mitomycin trabeculectomy as an initial surgery in primary open-angle glaucoma. Ophthalmology 1993;100:1624-8. |
| 3. | Bindlish R, Condon GP, Schlosser JD, D'Antonio J, Lauer KB, Lehrer R. Efficacy and safety of mitomycin-C in primary trabeculectomy: Five-year follow-up. Ophthalmology 2002;109:1336-41. |
| 4. | Budenz DL, Schwartz K, Gedde SJ. Occult hypotony maculopathy diagnosed with optical coherence tomography. Arch Ophthalmol 2005;123:113-4. |
| 5. | Leitgeb RA. En face optical coherence tomography: A technology review. Biomed Opt Express 2019;10:2177-201. |
[Figure 1]
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