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OPHTHALMIC IMAGE
Year : 2023  |  Volume : 3  |  Issue : 2  |  Page : 630

Swept source optical coherence tomography of whitish outer retinal spots in rhegmatogenous retinal detachment


1 MD Ophthalmology, Consultant Vitreo-Retina, Sharp Sight Eye Hospital, Swasthya Vihar, New Delhi, India
2 MD Ophthalmology, Senior Resident, NM Medical College, Panipat, Haryana, India

Date of Web Publication28-Apr-2023

Correspondence Address:
Harpreet Kaur Narde
MD Ophthalmology, Consultant Vitreo-Retina, Sharp Sight Eye Hospital, Swasthya Vihar, New Delhi
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_2028_22

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How to cite this article:
Narde HK, Vashistha V. Swept source optical coherence tomography of whitish outer retinal spots in rhegmatogenous retinal detachment. Indian J Ophthalmol Case Rep 2023;3:630

How to cite this URL:
Narde HK, Vashistha V. Swept source optical coherence tomography of whitish outer retinal spots in rhegmatogenous retinal detachment. Indian J Ophthalmol Case Rep [serial online] 2023 [cited 2023 Jun 2];3:630. Available from: https://www.ijoreports.in/text.asp?2023/3/2/630/374924



A 56-year-old female presented with sudden loss of vision in the left eye for past 4 days. She had undergone left eye cataract surgery 2 years back. Patient did not give history of trauma. On anterior segment examination, her intraocular lens (IOL) was noted to be in the bag with intact posterior capsule. Fundus examination revealed retinal detachment with macula off with a small superotemporal horseshoe tear. Whitish outer retinal spots were distinctly noted superotemporally, 2–3 disk diameter away from the fovea, extending till the equator [Figure 1]a. Swept source optical coherence tomography (SS-OCT) revealed multiple hyperreflective foci in the outer retinal layers, particularly the ellipsoid zone [Figure 1]b. These hyperreflective foci might have developed due to retinal degeneration. The distribution of the spots might indicate the path of spread of subretinal fluid and hence can be used to localize the causative retinal break.[1],[2]
Figure 1: (a) Fundus image showing whitish outer retinal spots of varying sizes, present superotemporally, 2–3 disk diameter away from the fovea (arrow), extending till the equator. (b) SS-OCT revealed multiple hyperreflective foci in the outer retinal layers, particularly the ellipsoid zone. SS-OCT = swept source optical coherence tomography

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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.
Russell JF. Whitish outer retinal spots in retinal detachment: Longitudinal follow-up, multimodal imaging, and clinical utility. Ophthalmol Retina 2022;6:469-77.  Back to cited text no. 1
    
2.
Russell JF, Russell SR. Whitish outer retinal spots in rhegmatogenous retinal detachment. Ophthalmol Retina 2018;2:389-95.  Back to cited text no. 2
    


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