Chronic Total Retinal Detachment

File number: 37264

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Appears in: Miscellaneous
Condition/keywords: retinectomy, laser scarring, proliferative vitreoretinopathy (PVR), chronic retinal detachment, silicone oil, Optos, klebsiella endopthalmitis
Photographer: Olivia Rainey and Amber Poss
Imaging device: Fundus camera
Optos
Description: Ultra-wide field pseudocolor image of a 57-year-old male with a chronic total retinal detachment affecting his right eye. Patient presented with klebsiella endophthalmitis in UK, and was in medically induced coma with tracheostomy. He awoke after sedation with loss of vision in both eyes, later developing a retinal detachment in both eyes. He had his first repair with gas then with silicone oil. Although he is developing band K and corneal decompensation due to oil in the AC, he has a chronic cicatricial retinal detachment with subretinal and preretinal PVR with large stretch breaks. His vision may worsen with surgery and his eye is hypotenous and if repair is possible, oil will need to be replaced and thus may still migrate to the AC thus would defer intervention until absolutely necessary given risks of vision loss in his only seeing eye. Given this is his only eye, observation is recommended at this time.