Retina Rocks, the image bank of the Retina World Congress, is a free, open-source online image library whose mission is to help educate the world’s eye care providers about why the retina rocks!
| Image Gallery | Over 51,000 multimodal images |
| Reference Library | Over 14,000 annotated citations from the major eye journals |
| Cases Atlas | Over 1,600 case studies organized by disease entity |
| Access our Instagram feed @retina.rocks | |
| Wall of Fame | Look here for the best submitted cases and images |
Have a comment or question about today's case? Go to your favorite social media platform to join the conversation!
Ayushi Gupta and Vishal Agrawal
This 24YO male has a known history of retinitis pigmentosa (RP) with long-standing stable vision loss. Vision was 20/50 OD and 20/200 OS.
Color photography OD shows classic RP findings, including mid-peripheral intraretinal pigment migration (bone spicules), narrowed retinal vessels, and a pale disc. Extensive optic disc drusen (ODD) are present and markedly hyperautofluoresce. OCT shows outer retinal and RPE atrophy. A large disc druse is noted in the superficial inner portion of the disc, with a hyperreflective margin, hyporeflective core, and posterior shadowing. Similar findings were noted in his left eye (not shown).
Learning Points:
ODD are refractile calcific concretions that form anterior to the lamina cribrosa. They are thought to be extruded extracellular calcified mitochondria and may be inherited as an autosomal dominant trait. In patients with RP, they are present in about 10% of eyes on fundus photography (Grover et al, Ophthalmology 1997;104:295-298) and in 30% on EDI-OCT (Steensberg et al, J Neuroophthalmol 2024;44:483-487). ODD in isolation can cause progressive visual field defects or central vision loss, which can often confound assessment of RP-related vision loss.
Int J Retina Vitreous. 2026 Jun 27;12(1):127. doi: 10.1186/s40942-026-00884-5.
PPV for myopic foveoschisis with foveal detachment: Air (vs no air) tamponade increased early anatomic recovery, but similar long-term anatomic and VA outcomes — Retrospective, 47 eyes
Purpose: To compare the efficacy of pars plana vitrectomy with or without air tamponade for patients with myopic foveoschisis (MFS) and foveal detachment (FD).
Methods: Forty-seven patients (47 eyes) with MFS and FD who underwent PPV with fovea-sparing internal limiting membrane peeling were included in this retrospective analysis. Patients were divided into air-tamponade (n = 21) and no-air-tamponade (n = 26) groups. Central foveal thickness (CFT), external limiting membrane (ELM) / ellipsoid zone (EZ) integrity, best-corrected visual acuity (BCVA), and incidence of complications were compared.
Results: In longitudinal analysis, the air-tamponade group had significantly faster CFT reduction at 1 week and 1 month (both P < 0.05). By 3 and 12 months, the CFT values were comparable between groups. Time to foveal reattachment was shorter with air tamponade (P < 0.001). The ELM and EZ integrity were compared at 12 months (both P > 0.05). Postoperative BCVA showed significant improvement from baseline at 3 and 12 months in both groups (P < 0.05). The time-by- tamponade type interaction at 3 and 12 months was not significantly different on BCVA in multivariable model (P > 0.05). Baseline diameter of FD was identified as an independent risk factor of 12-month BCVA by multivariable analysis. Complication rates, including postoperative macular hole, macular hole with retinal detachment, and transient aggravation, did not significantly differ between groups.
Conclusion: Air tamponade accelerated early anatomical recovery in MFS with FD, but both tamponade types achieved comparable long-term anatomical and visual outcomes. Baseline FD diameter was the independent predictor of visual outcome.
Receive Retina Rocks content in the RWC monthly newsletter!
Retina Rocks is the image bank of the Retina World Congress.
