case_images: PMC4327334_01
case_images: B-mode ultrasound examinations revealed vitreous hemorrhages and subretinal hyperechoic lesions suggesting bilateral hemorrhagic retinal detachments (large arrows). R = Right eye; L = left eye. The small arrows point towards the upper side.
case_images: cop-0006-0034-g01.jpg
case_images: PMC4327334_01_cop-0006-0034-g01.jpg
case_images: F1
case_images: Electroretinograms (ERG) were extinguished bilaterally, and A/B-mode ultrasonographies revealed bilateral combined vitreous hemorrhage and hemorrhagic retinal detachment (fig. 1). However, ultrasonographic examinations showed that the previously detected hemorrhagic retinal detachments (fig. 1) were no longer observable.
case_images: Slit-lamp findings for the left eye. Dense vitreous hemorrhage was detected (arrow).
case_images: cop-0006-0034-g02.jpg
case_images: PMC4327334_01_cop-0006-0034-g02.jpg
case_images: F2
case_images: Although his visual acuity showed no light perception bilaterally, preoperative ocular examinations revealed that a sluggish direct light reflex remained in his left eye and that bilateral dense massive vitreous hemorrhages could still be observed (fig. 2).
case_images: Postoperative findings. a Fundus photography for the left eye 2 months after surgery. The optic disc and the macula exhibited a normal color. Numerous fine retinal folds were also observed. b Optical coherence tomography findings for the left eye. While the shape of the central fovea was normal, the external limiting membrane was absent, and the inner segment ellipsoid line was extremely thin and not continuous under the fovea.
case_images: cop-0006-0034-g03.jpg
case_images: PMC4327334_01_cop-0006-0034-g03.jpg
case_images: F3
case_images: The condition of the fundus appeared to be almost the same as that seen at the end of surgery (fig. 3a). An optical coherence tomography examination of the left eye indicated that while the shape of the central fovea was normal, the external limiting membrane was absent, and the inner segment ellipsoid line was extremely thin and not continuous under the fovea (fig. 3b).