PMC3110444_01
A red free fundus photograph of the right eye reveals a mass lesion in the nasal quadrant (arrowheads)
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F1
A large macrocyst containing organized blood, and extending almost up to the ora serrata was seen in the superonasal quadrant [Figure 1].
Schematic representation of the fundus appearance of the right eye at presentation. White area denotes attached retina. Light grey area denotes detached retina. Dark area denotes retinal dialysis. Stippled line denotes demarcation line. Shaded area denotes hemorrhagic intraretinal macrocyst
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F2
A retinal dialysis was noted superiorly [Figure 2].
Ultrasound scan of the right eye at presentation. A well-delineated cystic mass lesion measuring 12.2 mm x 7.4 mm is noted. It has a high surface reflectivity and low-to-moderate internal reflectivity with an irregular echotexture. Retinal detachment is noted inferior to the lesion (arrow)
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F3
An ultrasound confirmed the presence of a well-demarcated, oval, cystic lesion within the retina, measuring 12.7 mm circumferentially and 7.4 mm anteroposteriorly [Figure 3].
A late phase fluorescein angiographic image showing blocked fluorescence in the area of the lesion as well as lack of double circulation within the lesion (arrowheads)
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F4
Fluorescein angiography revealed blocked choroidal fluorescence in the area of the cyst with a lack of double circulation within it [Figure 4].
Ultrasound scan of the right eye two months after surgery. The retinal 'cyst' is persistent. An echolucent area in the orbit adjacently behind the 'cyst' denotes the scleral buckle (arrow)
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F5
Best-corrected visual acuity was 20 / 30 and the cyst measured 12.1 mm circumferentially and 6.7 mm anteroposteriorly [Figure 5].
Ultrasound scan of the right eye three years after surgery. Acoustically clear vitreous cavity with complete retinal re-attachment and resolution of retinal 'cyst' is noted
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F6
Three years after surgery, his best-corrected visual acuity was 20 / 40; the retina was completely attached and no intraretinal cyst was evident [Figure 6].