PMC3292414_01
(A) Preoperative fundus photograph: a crescent-shaped retinal rupture near the macula (indicated by the black arrows), a choroidal rupture six disc diameters in size (indicated by the white arrowheads), subretinal hemorrhage, and peripheral retinal edema are seen. (B) Fundus photograph 7 days after surgery: the ruptured retina is closed. (C) Preoperative optical coherence tomography: rupture and subsidence of the retina and choroid and retinal detachment were identified (the arrows indicate the edges of the ruptured retina). (D) Postoperative optical coherence tomography: closure of the ruptured retina is seen, but the choroid and retina show subsidence, and the retinal pigment epithelium (RPE) layer has become thickened (the arrow indicates the scarred RPE near the macula). (E) Goldmann perimetry 4 months after surgery: the central scotoma is decreased, but the nasal crescent-shaped scotoma has become slightly bigger. (F) MP-1 micoperimetry: the ruptured choroid and RPE show scarring; retinal sensitivity is obtained; the ruptured area and superior temporal region of the macula have 0 dB sensitivity, but MP-1 micoperimetry shows the fixation point at the nasal macula; the nasal retina of macular area has normal retinal sensitivity of 16-20 dB; inferior temporal retina shows retinal sensitivity of 6-12 dB.
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Subretinal hemorrhage near the disc, limited retinal detachment in the temporal fundus of the disc, and peripheral retinal edema were observed (Figure 1A and B). Optical coherence tomography revealed rupture and subsidence of the retina and choroid, and a retinal detachment (Figure 1C). Five days postoperatively, closure of the ruptured retina was confirmed (Figure 1B). Optical coherence tomography revealed closure of the ruptured retina, but the choroid and retina showed subsidence, and the RPE layer had thickened (Figure 1D). Microperimetry (MP-1 microperimeter; Nidek Co, Ltd, Aichi, Japan) revealed that retinal sensitivity at the ruptured area and superior temporal region of the macula was 0 dB; however, the fixation point at the nasal region of the macula was detected with the MP-1 microperimeter (Figure 1E and F).