Examination of the posterior segement revealed an upper temporal macular lesion with overlying vitreous haemorrhage.
1st FFA and Ultrasound were done followed by OCT.
FFA report shows an eleveated lesion with SRF with no clear evidence of vessel involvement with overlying hemorrhage and no evidence of retinal mass.
Ultrasound report did not exclude a mass and showed the elevated lesion which was said to be either subretinal serous or hemorrhagic acculumation.
Finally OCT was done and to my surprise it did not show any serous detachment of the retina but a detachment of the ILM and part of NFL, there was total PVD and there was posterior shadowing in some parts by the overlying organized vitreous hemorrhage.What is the likely diagnosis of this case?
Is there any more confirmatory investigations?
And finally how would it be managed?
5 comments:
I think its a cyst and need more medical investigations
a case of PVD causing temporary ILM and RNFL detachment and subhyaloid hge.
-conservative follow up is required s the condition is reversible.
I think Its a cyst at the level of the NFLayer and internal limiting membrane.
I guess, this is a case of reticular retinoschisis( splitting is at the level of NFL). This type usually occurs in congenital retinoschesis, which is bilateral. That's why the other eye should also be examined by OCT.
i agree with u Nahla but after i did so the FA.
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