Ophtho On Call Case 5: Case Continued…

Ophtho On Call Case 5 Index

Answer: B-scan can be helpful especially in cases where there is a poor view perhaps due to cataract or vitreous hemorrhage and to confirm presence of shallow detachments. OCT macula can also be helpful to determine extent of macular involvement and would demonstrate separation of photoreceptor layers from the RPE. 

 

Below is an example of B-scan findings in a patient with an inferior retinal detachment.

Bscan RD KH

Above image Credit: Kyle Hirabayashi, MD 

What’s at the top of your differential now? Pick 1 before moving on.
Posterior vitreous detachmement 
Macula on rhegmatogenous retinal detachment  
 
Macula off rhegmatogenous retinal detachment with macular sparing
Exudative retinal detachment
Macula off tractional retinal detachment with macular sparing
Macula on tractional retinal detachment with macular sparing
Acute retinal tear
 
Retinoschisis
 

What are treatment options? Click all that apply
Laser retinopexy
Pneumatic retinopexy
 
Pars plana vitrectomy 
Scleral buckle
 
Observation
 
 

Click here to move on!

Ophtho On Call Case 5 Index
Ophtho On Call Case 5: Introduction
Ophtho On Call Case 5: Additional History & Physical Exam