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Refractile superficial retinal crystals and chronic retinal detachment: case report
Maged S Habib1, Sinead Byrne, John H McCarthy
1Sunderland Eye Infirmary, Queen Alexandra Road, Sunderland, SR2 9HP, UK. mhabib_jc@yahoo.co.uk
BMC Ophthalmology
|January 18, 2006
Summary
Refractile macular opacities can indicate asymptomatic peripheral retinal detachment. Subretinal fluid analysis revealed birefringent crystals, suggesting their origin in these rare cases.
Area of Science:
- Ophthalmology
- Retinal diseases
Background:
- Peripheral retinal detachment (PRD) can present with macular abnormalities.
- Retinal refractile opacities in the macula associated with PRD are rarely reported.
- The etiology of these macular opacities remains unclear.
Observation:
- Two patients with longstanding PRD exhibited unusual refractile opacities in the macula.
- These opacities were incidentally detected during routine ophthalmic examinations.
- Subretinal fluid analysis was performed in one patient.
Findings:
- Subretinal fluid analysis identified multiple birefringent crystals.
- These crystals are hypothesized to be the source of the observed macular opacities.
- The peripheral retinal detachments were asymptomatic.
Implications:
- This case series highlights a rare presentation of peripheral retinal detachment.
- Routine funduscopic examination is crucial for detecting subtle macular changes.
- The presence of birefringent crystals offers insight into the nature of these opacities.
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