PMC8270017_01
Preoperative B scan showing a retinal detachment with dense subretinal opacities corresponding to subretinal hemorrhage
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F1
B scan ultrasound was performed in the right eye and reported vitreous hemorrhage and an exudative retinal detachment inferotemporally extending from the far periphery into the macula with dense subretinal opacities [Figure 1].
An intraoperative view showing subretinal subretinal hemorrhage involving the temporal and inferotemporal retina extending from the periphery into the macula until the perifoveal area
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F2
Significant subretinal hemorrhage was found involving the temporal and inferotemporal retina extending from the periphery into the macula until the perifoveal area [Figure 2]. 0.3 ml of 25 microg/0.1 ml of TPA was injected into the subretinal space with a 41-gauge needle in an area of attached retina superior to the subretinal hemorrhage, and eventually, this bleb joined and diluted with the subretinal hemorrhage.
Postoperative ultrawide-field fundus photograph showing flat retina with pigmentary changes and laser scars temporally
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F3
Follow-up visits have shown cystoid macular edema (CME) in the right eye that is being managed with intravitreal anti-vascular endothelial growth factor agents [Figure 3].