Retinal detachment

Case contributed by Mostafa Mohamed
Diagnosis certain

Presentation

For investigation of tingling in her face. Pre-op cataract surgery.

Patient Data

Age: 40 years
Gender: Female
mri
This study is a stack
Axial
T2
This study is a stack
Axial
FLAIR
This study is a stack
Axial
T1
This study is a stack
Coronal
T2
This study is a stack
Axial
SWI
This study is a stack
Sagittal
T2
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Info

The right globe shows a linear low signal membrane in the vitreous chamber extending anteriorly in a V-shape with anterior insertion into the ora serrata and posterior convergence at the optic disc. Sub-retinal intermediate T1 signal denotes hemorrhage.

Right intra-ocular lens implant.

Case Discussion

The diagnosis of retinal detachment was made clinically and confirmed on the brain MRI. The patient underwent cataract surgery but the retinal detachment was not treated.

Retinal detachment is limited anteriorly by the ora serrata. In contrast, a choroidal detachment extends beyond the ora serrata. Posteriorly, a retinal detachment converges on the optic disc, while a choroidal detachment diverges at the disc.

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