Journal article
Whitish Outer Retinal Spots in Retinal Detachment: Longitudinal Follow-up, Multimodal Imaging, and Clinical Utility
Ophthalmology retina, Vol.6(6), pp.469-477
01/31/2022
DOI: 10.1016/j.oret.2022.01.017
PMID: 35114413
Abstract
To characterize the poorly understood phenomenon of whitish outer retinal spots that occasionally appear in retinal detachment (RD)
Retrospective, consecutive case series
Patients with RDs that had ophthalmoscopically-visible whitish outer retinal spots
All RDs with whitish outer retinal spots identified by one examiner over a 4-year interval were identified, and records were retrospectively reviewed.
Clinical and surgical observations, photography, and OCT
Whitish outer retinal spots were visualized in 51 occurrences of RD: 45 in rhegmatogenous RDs (RRDs), 5 in tractional RDs (TRDs), and 1 in exudative RD (ERD). In RRDs the spots usually formed an arcuate band located between the causative retinal break and attached retina. However, 6 RRDs had spots located between a peripheral gutter of subretinal fluid (SRF) and attached retina. In 11 eyes, the spots were observed to appear over time and/or propagate to areas of detached retina more distal to the break. The spots corresponded to hyperreflective foci in the ellipsoid/interdigitation layers on OCT. The spots were isofluorescent on fluorescein angiography. The average duration of symptoms prior to surgical repair was 27.7 days. In 7 of 23 eyes surgically repaired by the author, the distribution of the spots assisted in localizing an occult retinal break. The spots sometimes appeared or persisted in areas of residual SRF but invariably resolved after retinal reattachment.
Whitish outer retinal spots can occur in all types of RD, not just RRDs. Observation of the spots can help to date an RD as subacute and should prompt surgery. Because the spots occur in distributions that reflect the path of spread of subretinal fluid, their position can be used to localize causative retinal breaks.
Whitish outer retinal spots are a marker of subacute retinal detachment (RD). Identifying the spots and understanding their characteristic distribution can help to identify an occult retinal break.
Details
- Title: Subtitle
- Whitish Outer Retinal Spots in Retinal Detachment: Longitudinal Follow-up, Multimodal Imaging, and Clinical Utility
- Creators
- Jonathan F Russell - Institute for Vision Research and Department of Ophthalmology and Visual Sciences, Carver College of Medicine, University of Iowa, 200 Hawkins Drive, PFP 11196-J, Iowa City, IA 52242, USA
- Resource Type
- Journal article
- Publication Details
- Ophthalmology retina, Vol.6(6), pp.469-477
- Publisher
- Elsevier Inc
- DOI
- 10.1016/j.oret.2022.01.017
- PMID
- 35114413
- ISSN
- 2468-6530
- eISSN
- 2468-6530
- Language
- English
- Date published
- 01/31/2022
- Academic Unit
- Ophthalmology and Visual Sciences
- Record Identifier
- 9984215029002771
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