DJO July- Sep Volume 32 issue (1)

DJO Vol. 32, No. 1, July-September 2021

Pictorial CME

Spontaneously Reattached Retinal Detachment (SRRD)

Priya Rasipuram Chandrasekaran

Department of Medical Retina, Uvea and Neuro-Ophthalmology Lotus Eye Hospital Salem, Tamil Nadu, India.

Abstract This is the fundus photo and red free montage of a 27 year old male showing pigmentary changes and atrophic changes
in the inferior retina involving the fovea. This has a convex border with sharply demarcated margins and subretinal bands
suggestive of spontaneously reattached retinal detachment.

Delhi J Ophthalmol 2021;32; 99-100; Doi http://dx.doi.org/10.7869/djo.705

Keywords: Spontaneously Reattached Retinal Detachment, Fundus photo

This is the fundus photo and red free montage of a 27 year sheathing should not be overlooked in cases of posterior
old male showing pigmentary changes and atrophic changes uveitis.
in the inferior retina involving the macula. This has sharply c. Resolution of retinal detachment in cases of non-
demarcated margins and a convex border with subretinal caucasean patients with infero-temporal dialysis with
bands suggestive of SRRD as described by Cantrill.1 The accumulation of pigments and hyperplasia of retinal
possible mechanisms could be the formation of a small retinal pigment epithelium
break that led to the detachment initially, which got sealed d. Retinitis sclopetaria following high velocity trauma can
by the vitreous gel or the break resolved spontaneously cause retinal sectoral pigmentation.
after getting relieved of vitreous traction by the overlying
vitreous gel. Complete PVD may have favoured complete References
reattachment through the above suspected mechanisms.2,3,4
The differential diagnosis include (Figure 1).1,4,5 1. Cantrill HL. Spontaneous retinal reattachment. Retina 1981;
1:216 –9.
a. Pigmentary retinal lesions like retinitis pigmentosa
which are usually bilateral and with waxy disc pallor 2. Lorenzo J, Capeans C, Suarez A, et al. Posterior vitreous findings
and arteriolar attenuation unless it is a unilateral case of in cases of spontaneous retinal reattachment. Ophthalmology
retinitis pigmentosa. ERG confirms the diagnosis. 2002; 109:1251–5.

b. Resolved chronic exudative retinal detachment 3. Hee Yoon Cho, MD, Song Ee Chung, MD, Jong In Kim, MD,
secondary to chronic central serous serous retinopathy, Kyu Hyung Park, MD, Sang Kook Kim, MD, Se Woong Kang,
optic disc pits, colobomas or posterior uveitis. Signs MD, Spontaneous Reattachment of Rhegmatogenous Retinal
of anterior segment inflammation along with vascular Detachment, Ophthalmology 2007;114:581–586.

4. Song Ee Chung, Se Woong Kang, Chan-Hui Yi, A Developmental
Mechanism of Spontaneous Reattachment in Rhegmatogenous
Retinal Detachment, Korean J Ophthalmol 2012;26(2):135-138,

Figure 1: This is the fundus photo and red free montage showing pigmentary and atrophic changes involving the fovea and inferior retina. This has a convex
border with well-defined margins and subretinal bands suggestive of SRRD.

E-ISSN: 2454-2784  P-ISSN: 0972-0200 99 Delhi Journal of Ophthalmology

DJO Vol. 32, No. 1, July-September 2021

http://dx.doi.org/10.3341/kjo.2012.26.2.135.
5. Jorge Guillermo García-Guzmán, Yasmín Franco-Yáñez,

Virgilio Lima-Gómez, Bilateral spontaneously reattached
rhegmatogenous retinal detachment. Case report and differential
diagnosis with pigmentary retinopathies, Clinical case, Cir Cir,
Jan-Feb 2014; 82(1):57-62.

Cite This Article as: Priya Rasipuram Chandrasekaran.
Spontaneously reattached retinal detachment (SRRD).
Delhi J Ophthalmol 2021; 32; (1) 99-100.

Acknowledgments: Nil
Conflict of interest: None declared
Source of Funding: None
Date of Submission: 07 Apr 2021
Date of Acceptance: 08 May 2021

Address for correspondence
Priya Rasipuram Chandrasekaran

MBBS, DO, DNB, FRCS,
Consultant Ophthalmologist

Department of Medical Retina, Uvea
and Neuro-ophthalmology Lotus Eye
Hospital Salem Tamil Nadu, India.
Email: [email protected]

Quick Response Code

E-ISSN: 2454-2784  P-ISSN: 0972-0200 100 www.djo.org.in

DJO Vol. 32, No. 1, July-September 2021

Letter to Editor

Comment on Re: Smartphone Fundus Videography for
Documentation of Retinal and Optic Nerve Head Diseases

Joseph W. Fong,1 Sami H. Uwaydat,1 Jeffrey L. Yee2

1Department of Ophthalmology, Jones Eye Institute, University of Arkansas for Medical Sciences (UAMS), Little Rock, Arkansas, USA.
2Department of Ophthalmology, Central Arkansas Veterans Healthcare System (CAVHS), Little Rock, Arkansas, USA.

Delhi J Ophthalmol 2021;32; 101; Doi http://dx.doi.org/10.7869/djo 706
Keywords: Fundus Photography, Smartphone Photography, Covid-19

Dear Sir, Cite This Article as: Joseph W. Fong, Sami H. Uwaydat,
We read with interest the article ‘Smartphone Fundus Jeffrey L. Yee. Comment on Re: Smartphone Fundus
Videography for Documentation of Retinal and Optic Nerve Videography for Documentation of Retinal and Optic
Head Diseases’ by Hans et al. (2021). We wish to congratulate Nerve Head Diseases. Delhi J Ophthalmol 2021; 32; 102.
the authors for their excellent discussion regarding the use
of smartphones common to so many of us to obtain high- Acknowledgments: Nil
quality fundus photography. Conflict of interest: None declared
Source of Funding: None
At our academic institution, the utility of smartphone fundus Date of Submission: 28 Apr 2021
photography has been particularly invaluable during the Date of Acceptance: 08 May 2021
COVID-19 pandemic. Our resident physicians receive
inpatient consultation requests multiple times per day for Address for correspondence
non-ambulatory patients, oncology patients, and critically- Joseph W. Fong MD
ill patients – most who cannot be transported to the eye
clinic. These consults often include rule out of chorioretinitis Department of Ophthalmology, Jones
with fungemia, evaluation of retinal hemorrhages in non- Eye Institute, University of Arkansas for
accidental trauma, and rule out of posterior segment Medical Sciences (UAMS), Little Rock,
pathology in neuro-intensive care patients. During the Arkansas, USA
pandemic, smartphone fundus photography allowed Email: [email protected]
resident physicians to provide high-quality documentation
of retinal findings while minimizing unnecessary exposure Quick Response Code
to other staff physicians. They could also receive immediate
feedback from attending physicians and senior-level
resident physicians when they were unsure of their findings.
In our experience, we found that the smartphone fundus
photographs approach the quality of portable imaging
modalities such as the RetCam (Clarity Medical Systems
USA) while offering superior portability and ease of
cleaning. With concerns over sanitation paramount during
the pandemic, we found it impractical to risk contaminating
the RetCam by transporting it to and from the inpatient
units (and subsequently contaminating the eye clinic). In
conclusion, we echo the authors’ endorsement of smartphone
fundus photography in an ever-evolving COVID climate.

References

1. Hans R, Uzair M, Kaushik A. Smartphone Fundus Videography
For Documentation Of Retinal And Optic Nerve Head Diseases.
DJO 2021;31:112-117

E-ISSN: 2454-2784  P-ISSN: 0972-0200 101 Delhi Journal of Ophthalmology

DJO Vol. 32, No. 1, July-September 2021

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