IMAGE OF THE MONTH: September 2023

Rule Out Retinal Detachment?

Submitted by Karen Jeng-Miller, MD, MPH (Atrius Health)

57 year old man was referred to the retina clinic to rule out a chronic retinal detachment in the right eye.

He felt this vision had been getting worse in the left eye over the past year but otherwise had no ocular complaints. Past ocular history was significant for surgery for left nasolacrimal duct obstruction.

Visual acuity was 20/20 in the right eye, 20/30 in the left eye.  Confrontational visual fields revealed a superotemporal field defect in the right eye and was full in the left eye.

A 45 year old healthy female was referred by her ophthalmologist due to the abnormal fundus exam shown below. She has no family history of eye disease. The patient was asymptomatic and visual acuity was 20/20 OD and 20/20 OS.

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