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Whitish Outer Retinal Spots in Rhegmatogenous Retinal Detachment
Jonathan F Russell1, Stephen R Russell2
1Bascom Palmer Eye Institute, Miami, Florida.
Ophthalmology. Retina
|May 4, 2019
Summary
Whitish outer retinal spots in rhegmatogenous retinal detachment (RRD) may indicate a subacute stage. These spots, located in detached retina, can help identify the retinal break.
Area of Science:
- Ophthalmology
- Retinal Diseases
- Medical Imaging
Background:
- Rhegmatogenous retinal detachment (RRD) is a serious condition requiring prompt diagnosis.
- Characteristic clinical signs of RRD can aid in determining the duration and location of the retinal break.
Purpose of the Study:
- To characterize the clinical appearance and OCT findings of whitish outer retinal spots in patients with RRD.
- To explore the potential diagnostic value of these spots in assessing the chronicity and localization of RRD.
Main Methods:
- Retrospective review of patients with RRD and whitish outer retinal spots.
- Clinical examination, color fundus photography, and optical coherence tomography (OCT) imaging were utilized.
- Search of a large image bank to identify additional cases and assess spot frequency.
Main Results:
- Whitish outer retinal spots, varying in size, were observed in specific areas of detached retina.
- These spots were consistently located between the retinal break and the attached retina.
- OCT revealed hyperreflective foci in the outer photoreceptor segment layer corresponding to these spots.
Conclusions:
- The whitish outer retinal spots are proposed to represent a transient stage of retinal degeneration following detachment.
- These clinical findings may serve as a biomarker for subacute RRD and assist in identifying the retinal break.
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