Leopard-spot pattern after pars plana vitrectomy in patient with chronic rhegmatogenous retinal detachment

Published:January 29, 2022DOI:
      An 82-year-old male patient presented with a funnel retinal detachment without visible breaks. Axial lengths were 22.29 mm OD and 22.58 mm OS, reducing concern for uveal effusion syndrome. B-scan revealed no vitritis or mass lesion. Pars plana vitrectomy revealed an inferior break with proliferative vitreoretinopathy. Silicone oil was placed. Postoperatively, widefield colour photography (A) demonstrated confluent hypoautofluorescent macular lesions extending outward (B) and diffuse subretinal lesions (C). Magnetic resonance imaging of the brain and orbits were within normal limits, with no evidence of lymphoma. This unusual pigmentary pattern is likely secondary to chronic fluid in the setting of a longstanding proliferative vitreoretinopathy detachment Figure 1.
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