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OPHTHALMIC IMAGE
Year : 2022  |  Volume : 2  |  Issue : 3  |  Page : 867

Tigroid pattern on en-face optical coherence tomography in hypotony maculopathy


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 Publication16-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
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_1875_21

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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 11];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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  References Top

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.  Back to cited text no. 1
    
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.  Back to cited text no. 2
    
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.  Back to cited text no. 3
    
4.
Budenz DL, Schwartz K, Gedde SJ. Occult hypotony maculopathy diagnosed with optical coherence tomography. Arch Ophthalmol 2005;123:113-4.  Back to cited text no. 4
    
5.
Leitgeb RA. En face optical coherence tomography: A technology review. Biomed Opt Express 2019;10:2177-201.  Back to cited text no. 5
    


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