A fingerprint hidden inside the eye. A unique pattern of outer retina splitting as seen on en-face OCT and OCT-angiography





Abstract


A splitting of the outer plexiform retinal layer in a saw-like hyporeflective pattern in addition to partially formed concentric circles centred at the foveola were observed using en-face OCT and OCT-angiography in a 27-year-old female patient with rhegmatogenous retinal detachment and a 50-year-old female patient with Vogt-Koyanagi-Harada chorioretinopathy.



Case report


A 27-year-old female patient with rhegmatogenous retinal detachment and a history of ocular toxoplasmosis underwent pars plana vitrectomy with argon laser photocoagulation and silicone oil tamponade. En-face Optical Coherence Tomography (OCT) performed 3 days postoperatively revealed retinal reattachment in addition to splitting of the outer plexiform layer in a saw-like hyporeflective pattern ( Fig. 1 A).




Fig. 1


A. Splitting of the outer plexiform retinal layer in a saw-like hyporeflective pattern in a 27-year-old patient following pars plana vitrectomy for rhegmatogenous retinal detachment. Figure 1B. A pattern of partially formed concentric circles centred at the foveola in a patient treated for rhegmatogenous retinal detachment. Figure 1c. Splitting of the outer plexiform retinal layer in a 50-year-old patient with Vogt-Koyanagi-Harada chorioretinopathy. Figure 1d. A pattern of partially formed concentric circles centred at the foveola in the context of Vogt-Koyanagi-Harada syndrome.

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Jan 3, 2022 | Posted by in OPHTHALMOLOGY | Comments Off on A fingerprint hidden inside the eye. A unique pattern of outer retina splitting as seen on en-face OCT and OCT-angiography
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