PMC3082493_01
a Massive lipid exudation in the posterior pole and around the arcades with exudative retinal detachment extending from the inferior border of the optic disc to the temporal periphery. b Fundus photograph showing the attached retina with no lipid exudation 36 months after surgery.
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F1
Fundus examination of the left eye revealed massive lipid exudation in the posterior pole and around the arcades with exudative retinal detachment extending from the inferior border of the optic disc to the temporal periphery (fig. 1a). Thirty-six months after surgery, the retina was attached and no silicone oil emulsification was present (fig. 1b).
PMC3082493_02
a Fundus photograph showing pigmentary changes with abnormal vasculature and lipid exudation involving the macula. Note the hemorrhage in the inferotemporal quadrant. Visual acuity was hand motions. b Postoperative fundus photograph of the same patient. The retina was attached and there was no lipid exudation. The visual acuity was 20/400.
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F2
There was also minimal intravitreal hemorrhage in the inferior temporal periphery (fig. 2a). The disease was stable and his visual acuity improved to 20/400 and stayed at this level throughout the follow-up period of 24 months. (fig. 2b).
PMC3082493_03
a Ultrasonographic view of the right eye showing vitreous hemorrhage with a retinal macrocyst. The arrow points to the posterior hyaloids and the x shows the retinal macrocyst. b Intraoperative photograph of the same patient. After removal of the vitreous hemorrhage, the retinal macrocyst was exposed. c Fundus photograph showing lipid exudation inferotemporal to the fovea. The macrocyst was free of pigmentary changes and subretinal fibrosis.
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F3
Ultrasonographic examination of the right eye revealed intravitreal hemorrhage and a retinal macrocyst. (fig. 3a). After core vitrectomy and removal of the hemorrhage, the retinal macrocyst was exposed (fig. 3b). He underwent phacoemulsification surgery and his final visual acuity was 20/200 at the end of the 6-year period (fig. 3c).
PMC3082493_04
PMC3082493_05