PMC4371895_01
Spectral domain optical coherence tomographic images with corresponding scanning laser ophthalmoscopic images of the left macula.. Notes: (A) Preoperatively, the retina is detached under silicone oil. (B) At 1 week following recurrent retinal detachment repair, the retina remains attached with a large subfoveal PFCL droplet. There is a focal area of severe thinning with a possible retinal defect (arrowhead) overlying the droplet. (C) At 3 weeks following repair, without any surgical intervention, the retina remains attached, but the PFCL droplet is no longer identified and is replaced by granular changes at the outer retina with a restored foveal contour. (D) By 3 months following repair, these granular changes have improved, with visualization of outer retinal structures.. Abbreviations: PFCL, perfluorocarbon liquid; RD, retinal detachment; POW, postoperative week; POM, postoperative month.
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A 72-year-old man was referred with a history of recurrent retinal detachment in the right eye (Figure 1A) repaired with prior vitrectomy and subsequent encircling scleral buckle, vitrectomy, and silicone oil. On postoperative day 1 and then at postoperative week 1, the patient had counting fingers vision with retinal attachment under silicone oil, but a large subfoveal PFCL droplet was noted on ophthalmoscopy and confirmed with optical coherence tomography (OCT) imaging, which revealed a focal area of severely thinned retinal tissue overlying the droplet (Figure 1B). OCT performed that day revealed a restored foveal depression with focal outer retinal granulation and thinning (Figure 1C). Without any surgical intervention, these architectural changes improved over the subsequent months, with restoration of the ellipsoid zone band at the fovea (Figure 1D).