This 35 YO male had a severe diabetic tractional retinal detachment with subsequent pars plana vitrectomy a few years prior.
Now, macular striae are apparent in the inner retina and are especially dramatic on en face imaging (image 4). Remarkably, this patient maintains 20/40 vision. It is quite common for these postoperative traction detachments to have residual retinal striae, which usually don’t adversely affect vision.
Learning Points:
En face OCT is extremely helpful in evaluating and managing retinal disease, offering a unique perspective for viewing pathology.
