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OPHTHALMIC IMAGE
Year : 2019  |  Volume : 67  |  Issue : 3  |  Page : 407

Ultra-wide field imaging of giant circumferential chorioretinal fold following post-operative hypotony


Retina and Uvea Services, Dr R P Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India

Date of Web Publication18-Feb-2019

Correspondence Address:
Dr. Brijesh Takkar
All India Institute of Medical Sciences, Bhopal - 110 029
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_1483_18

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How to cite this article:
Takkar B, Khokhar S, Agarwal D, Venkatesh P. Ultra-wide field imaging of giant circumferential chorioretinal fold following post-operative hypotony. Indian J Ophthalmol 2019;67:407

How to cite this URL:
Takkar B, Khokhar S, Agarwal D, Venkatesh P. Ultra-wide field imaging of giant circumferential chorioretinal fold following post-operative hypotony. Indian J Ophthalmol [serial online] 2019 [cited 2019 May 24];67:407. Available from: http://www.ijo.in/text.asp?2019/67/3/407/252413



A 51-year-old presented 1 month following scleral fixation of intraocular lens (IOL). There was history of persistent low intraocular pressure, choroidal detachment, and vitreous hemorrhage immediately following surgery. While corrected visual acuity was 6/60, examination revealed multiple vertically oriented pigmented lines near fovea [Figure 1]a with peripheral vitreous hemorrhage. Optical coherence tomography (OCT) showed discontinuous outer retinal layers at fovea [Figure 1]b, leading to a diagnosis of hypotonic maculopathy. One month later, visual acuity improved to 6/18 and OCT showed improvement in continuity of foveal outer retinal layers [Figure 1]c. With resolution of vitreous hemorrhage, a large circumferential choroidal fold was now apparent inferiorly [Figure 1]d.
Figure 1: (a) Fundus photograph showing multiple vertically oriented closely spaced old chorioretinal folds temporal to the fovea (arrows). (b and c) Sequel optical coherence tomography images showing improvement in the continuity of foveal outer retinal layers. The alterations in outer retinal layer reflectivity (arrows) improved in the region of the folds too. (d) Ultra-wide field fundus photograph showing a giant circumferential chorioretinal fold in the inferior quadrants (arrowheads), extending beyond the equator nasally and marked by loss of pigment at its summit. Grayish folds are seen temporal to the fovea (star)

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Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.




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