20 year-old woman's retina | Figure 1

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20 year-old woman's retina

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A 64-year-old man presented with vision loss in the right eye that had progressed over the course of the previous four weeks.
His visual acuity was reduced to hand motion in the right eye and was 20/20 in the left eye. There was no history of trauma.
Wide-field fundus photography (Figure A) showed a giant retinal tear of 6 clock hours. In addition, half of the retina folded on itself, and there was bare choroid superotemporally and a horseshoe tear at 1:30 o'clock.
We performed vertical spectral-domain optical coherence tomography, which showed detached macula with the foveal center folded over the inferior retina.
We decided to perform pars plana vitrectomy with silicone oil injection.
At his six-week postoperative visit, the patient’s visual acuity was 20/400 with pinhole. Postoperative fundus photography (Figure B) demonstrated a reattached retina. The vertical optical coherence tomography (OCT) showed silicone oil reflection and ellipsoid zone (arrow) atrophy (between arrowheads) in the foveal center.

Patient was completely asymptomatic but I found this in the back of her eye. Retinal hole? Old toxoplasmosis scar?

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20 year-old woman's retina | Figure 1

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