case_images: PMC4629982_01
case_images: Vitreomacular traction (VMT) resolution, lowered intraocular pressure (IOP), and choroidal effusion after ocriplasmin injection.. Notes: (A) Optical coherence tomography (OCT) scan through the fovea from before injection shows VMT. Visual acuity was 20/80-1, IOP was 19 mmHg. (B) OCT scan 1 week after injection shows clear epiretinal membrane (ERM). Visual acuity was 20/70-1, IOP was 11 mmHg. (C) One month after injection, OCT scan shows clear resolution of VMT but remaining ERM. Visual acuity was 20/70-2, IOP decreased to 7 mmHg. (D) Fundus photograph from 1 month after injection shows nasal choroidal effusion and inferior retinal detachment.
case_images: opth-9-1995Fig1.jpg
case_images: PMC4629982_01_opth-9-1995Fig1.jpg
case_images: f1-opth-9-1995
case_images: On the day of injection, VA was 20/80-1 in the right eye (Figure 1A) and 20/20-1 in the left eye. At 1 week post injection, VMT was resolved and VA was 20/70-1 (Figure 1B). VA was 20/70-2 and IOP decreased to 7 mmHg (Figure 1C). There was serous choroidal effusion and inferior retinal detachment (Figure 1D), with no visible retinal break.
case_images: Choroidal effusion resolved and retinal detachment persisted at 2 months following ocriplasmin injection.. Notes: (A) Two months after injection, optical coherence tomography (OCT) scan still shows remaining epiretinal membrane (ERM). Visual acuity was 20/60-1, intraocular pressure (IOP) increased to 17 mmHg. (B) Fundus photograph from 2 months after injection shows choroidal effusion resolved and persistent inferior retinal detachment. (C) OCT scan from 16 weeks after vitrectomy shows absent ERM. Visual acuity was 20/50+, and IOP was 18 mmHg. (D) Fundus photograph from 16 weeks after vitrectomy shows retinal reattachment.
case_images: opth-9-1995Fig2.jpg
case_images: PMC4629982_01_opth-9-1995Fig2.jpg
case_images: f2-opth-9-1995
case_images: At 2 months post injection, VA was 20/60-1 and IOP increased to 17 mmHg (Figure 2A). Retinal detachment persisted inferiorly (Figure 2B), with peripheral vitreous attachment noted outside of the inferotemporal arcade. At 16 weeks post surgery (Figure 2C, D), VA was 20/50+, and IOP was 18 mmHg with the patient on no glaucoma medications.