Case Presentation
A seven-year-old child presented to the clinic with a complaint of
decreased vision in the right eye for nine days duration. No past
history of photopsia or ocular trauma was present. Ophthalmic
examination of the right eye showed the best-corrected visual acuity
(BCVA) is 0.1, the presence of pigment cells in the anterior vitreous,
white without pressure temporal lesions, and shallow inferior RD
reaching the macula. The left eye exam was unremarkable except for
temporal white without pressure lesions. No retinal break or
telangiectasia was detected by using a 90 Volk noncontact lens in fundus
examination. Optical coherence tomography (OCT) for the right eye showed
macula-off RD. (Fig-1) Even though the border of detachment was
convex, the gravity dependency of fluid and the presence of smoothness
or corrugations of the retinal surface cannot be judged well due to the
shallowness of detachment. B scan -to rule out posterior
scleritis-showed unremarkable findings. In addition, FFA was ordered
since the causes of exudative retinal detachment including vasculitis,
need to be excluded. The results showed retinal vascular leakage
corresponding to the inferior area of detachment. (Fig-2)Hence, a vasculitis work-up was ordered which showed unremarkable
findings.
Contact lens fundus examination showed inferior dialysis from 5.00 to
7.00 clockwise, which was managed with buckling surgery.(Fig-3) On follow-up examination, BCVA was improved to 0.4, the
retina was flat and the leakage on repeating FFA after eight months was
absent. (Fig-4) The patient was on regular follow-up for 2
years post-surgery with a stable examination.