Retinal Detachment, Rhegmatogenous


Step 1: View clinicals

A 64-year-old man complains of suddenly perceiving a "dark curtain" in the periphery of his left eye, since a few hours ago. Further questioning reveals that he has been seeing "cobwebs" slowly floating before the same eye, during the preceding several weeks. There is no history of trauma and his medical history is unremarkable. His surgical history is significant for cataract surgery in both eyes a year ago. He has been using reading glasses for almost a decade now. The remainder of his history is without note.

Step 2: Order all relevant investigations

Optical coherence tomography

Optical coherence tomography demonstrates neurosensory retinal detachment with foveal sparing in the left eye.

MRI Brain

MRI of the brain reveals no abnormalities.

Fluorescein angiography

You realize that fluorescein angiography is not indicated in this patient.

Optical Biometry

You realize that optical biometry is not indicated in this patient.

Step 3: Select appropriate management

L/s Vitrectomy
L/s Scleral buckling
B/L Laser coagulation
Remove L/s artificial intraocular lens

Score: ★★☆