This 63YOF presented with a week of vision loss in her right eye. Optos color RGB imaging shows a temporal macula-off rhegmatogenous retinal detachment (RRD) complicated by proliferative vitreoretinopathy (PVR) with a large star fold just posterior to a retinal tear. She was scheduled for emergent vitrectomy.
Learning Points:
PVR, which consists of cellular membranes growing on either retinal surface, develops in about 5-10% of retinal detachments. RRD with a concurrent non-causal macular hole is found in about 2% detachments (Iros et al, Retina 2023;43:581-584). Although most eyes achieve anatomic success, final vision is usually poor. In our patient, unfortunately, there is no further clinical information, so it is unclear whether the macular hole caused the detachment or was secondary to traction from the star fold.
