case_images: PMC11021041_01
case_images: a At 7 days post-op, SD-OCT shows a flattened macula with mild remnants of SRF (white arrows) subfovealy. b An additional separate shallow layer of SRF in the lower temporal site of the macular area can be seen.
case_images: cop-2024-0015-0001-538501_F01.jpg
case_images: PMC11021041_01_cop-2024-0015-0001-538501_F01.jpg
case_images: F1
case_images: At 1 week postoperatively, VA was 5/10 with flat retina and a shallow layer of SRF spread across the line of the former detachment (Fig. 1).
case_images: Macular SD-OCT. a 6 weeks post-op. b 12 weeks post-op. Note the ill-defined retinal layers and the ERM formation.
case_images: cop-2024-0015-0001-538501_F02.jpg
case_images: PMC11021041_01_cop-2024-0015-0001-538501_F02.jpg
case_images: F2
case_images: The gradual visual loss was accompanied by the disorganization of the retinal layers and the late development of inner RFs and ORFs, along with the formation of an epiretinal membrane (ERM) (Fig. 2, 3).
case_images: SD-OCT of the same lower temporal site of the macula as shown in Fig. 1B. a 6 weeks post-op. b 12 weeks post-op. Note the formation of the RFs.
case_images: cop-2024-0015-0001-538501_F03.jpg
case_images: PMC11021041_01_cop-2024-0015-0001-538501_F03.jpg
case_images: F3
case_images: The gradual visual loss was accompanied by the disorganization of the retinal layers and the late development of inner RFs and ORFs, along with the formation of an epiretinal membrane (ERM) (Fig. 2, 3).
case_images: Macular SD-OCT. a 1 week post-SO removal and (b) 1 month post-SO removal, showing the evolution of a "taco" ORF (white arrows).
case_images: cop-2024-0015-0001-538501_F04.jpg
case_images: PMC11021041_01_cop-2024-0015-0001-538501_F04.jpg
case_images: F4
case_images: In fact, the combination of "taco" and "ripple" types persisted (Fig. 4, 5).
case_images: SD-OCT of the same lower temporal site of the macula as shown in Figures 1B and 3. a 1 week post-SO removal and (b) 1 month later, showing a number of "ripple" ORFs (white arrows).
case_images: cop-2024-0015-0001-538501_F05.jpg
case_images: PMC11021041_01_cop-2024-0015-0001-538501_F05.jpg
case_images: F5
case_images: In fact, the combination of "taco" and "ripple" types persisted (Fig. 4, 5). In the long-term follow-up examinations in our case, the RFs have either partially settled down or disappeared (Fig. 4, 5, 10-14) without any intervention, leaving minor defects in the IS/OS.
case_images: OCT-A of the choriocapillaries layer presenting a signal reduction along the "taco" ORF and the SRF beneath it, 1 month post-SO removal.
case_images: cop-2024-0015-0001-538501_F06.jpg
case_images: PMC11021041_01_cop-2024-0015-0001-538501_F06.jpg
case_images: F6
case_images: In OCT-angiography, a signal reduction is noted at the level of the choriocapillaries along the "taco" ORF and the SRF beneath it, presenting an improvement over a period of 5 months (Fig. 6, 7). In the long-term follow-up examinations in our case, the RFs have either partially settled down or disappeared (Fig. 4, 5, 10-14) without any intervention, leaving minor defects in the IS/OS.
case_images: OCT-A of the same area as the Fig. 6 with marked improvement of the signal reduction, 6 months post-SO removal.
case_images: cop-2024-0015-0001-538501_F07.jpg
case_images: PMC11021041_01_cop-2024-0015-0001-538501_F07.jpg
case_images: F7
case_images: In OCT-angiography, a signal reduction is noted at the level of the choriocapillaries along the "taco" ORF and the SRF beneath it, presenting an improvement over a period of 5 months (Fig. 6, 7). In the long-term follow-up examinations in our case, the RFs have either partially settled down or disappeared (Fig. 4, 5, 10-14) without any intervention, leaving minor defects in the IS/OS.
case_images: Fundus image 1 month post-SO removal, with the white arrows pointing at the sites of the RFs.
case_images: cop-2024-0015-0001-538501_F08.jpg
case_images: PMC11021041_01_cop-2024-0015-0001-538501_F08.jpg
case_images: F8
case_images: Tauhe fundus image of the post-SOmicron removal period depicts the lesions corresponding to the ORFs (Fig. 8). In the long-term follow-up examinations in our case, the RFs have either partially settled down or disappeared (Fig. 4, 5, 10-14) without any intervention, leaving minor defects in the IS/OS.
case_images: SD-OCT of a superonasal to the macula site. a SRF. b ORFs.
case_images: cop-2024-0015-0001-538501_F09.jpg
case_images: PMC11021041_01_cop-2024-0015-0001-538501_F09.jpg
case_images: F9
case_images: Another site of SRF could be found superonasally to the macula, proximal to the superior temporal vascular arcade with more of the "ripple" type ORFs nearby (Fig. 9). In the long-term follow-up examinations in our case, the RFs have either partially settled down or disappeared (Fig. 4, 5, 10-14) without any intervention, leaving minor defects in the IS/OS.
case_images: a 1 month post-SO removal. b 4 months post-SO removal. Note the hypo-reflective spot beneath the IS/OS.
case_images: cop-2024-0015-0001-538501_F10.jpg
case_images: PMC11021041_01_cop-2024-0015-0001-538501_F10.jpg
case_images: F10
case_images: SRF may have contributed to the RFs formation under the presence of SO or, alternatively, be associated with the remission of the folds and IS/OS changes. SD-OCT indicated a hypo-reflective gap between the IS/OS and the retinal pigment epithelium (Fig. 10). In the long-term follow-up examinations in our case, the RFs have either partially settled down or disappeared (Fig. 4, 5, 10-14) without any intervention, leaving minor defects in the IS/OS.