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Sunglasses in the Eye Associated With Chronic Rhegmatogenous Retinal Detachment

To identify the key insights or developments described in this article
1 Credit CME

A 27-year-old male patient presented with a complaint of 2 years of gradual vision loss in his left eye. His best-corrected visual acuity was logMAR 1.30 (approximate Snellen equivalent, 20/400) OS. Dilated fundus examination revealed a macula-off inferotemporal retinal detachment (RD) in the left eye. Two oval cystoid abnormalities were seen at the 3-o’clock and 4-o’clock meridian near the equator, and a retinal hole was visualized near the equator at approximately the 4-o’clock meridian (Figure, A). The patient was diagnosed with a chronic rhegmatogenous RD with retinal cystoid abnormalities. Ultra-widefield swept-source optical coherence tomography (BM-400K BMizar; TowardPi Medical Technology) showed the cavity of the retinal cystoid abnormalities, which were connected like a pair of sunglasses (Figure, B). Retinal cystoid abnormalities can be indicators of chronic RD, typically resolving after surgical management of the RD.

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Article Information

Corresponding Author: Dan Cao, MD, PhD, Guangdong Eye Institute, Department of Ophthalmology, Guangdong Provincial People’s Hospital, Guangdong Academy of Medical Sciences, Guangdong Cardiovascular Institute, No. 106 Zhongshan Second Rd, Guangzhou 510080, China (dancao5413@163.com).

Conflict of Interest Disclosures: None reported.

Additional Contributions: We thank the patient for granting permission to publish this information.

AMA CME Accreditation Information

Credit Designation Statement: The American Medical Association designates this Journal-based CME activity activity for a maximum of 1.00  AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to:

  • 1.00 Medical Knowledge MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program;;
  • 1.00 Self-Assessment points in the American Board of Otolaryngology – Head and Neck Surgery’s (ABOHNS) Continuing Certification program;
  • 1.00 MOC points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program;
  • 1.00 Lifelong Learning points in the American Board of Pathology’s (ABPath) Continuing Certification program; and
  • 1.00 CME points in the American Board of Surgery’s (ABS) Continuing Certification program

It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting MOC credit.

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