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Enantiomorphic Rhegmatogenous Retinal Detachment

Bhayana, Amber Amar MD; Azad, Shorya Vardhan MS

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Asia-Pacific Journal of Ophthalmology: March-April 2022 - Volume 11 - Issue 2 - p 208
doi: 10.1097/APO.0000000000000422
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Bilateral symmetric retinal detachments usually point to an exudative/systemic cause.1 Rhematogenous retinal detachments have bilateral predisposition.2 We would like to report a rare case of an exact, mirror-image bilateral rhegmatogenous retinal detachment. The patient was a 17-year-old male with both eyes having well demarcated retinal detachments with subretinal bands and corrugations (only superotemporal sector attached) (Fig. 1), suggesting a rhegmatogenous cause (patient had multiple bilateral untreated lattices with holes). We report a rhegmatogenous cause of bilateral symmetrical retinal detachment which, to the best of our knowledge, has not been documented.

Optos photograph of right (A) and left (B) fundus showing bilateral retinal detachments with attached retina demarcated by black stars. Autofluorescence images of right (C) and left (D) showing the same.


1. Pineiro A, Pacheco P, Copena MJ, et al. Bilateral, symmetric and simultaneous rhegmatogenous retinal detachment. Predisposition or coincidence? A case report. Int Ophthalmol 2009; 29:247.
2. Krohn J, Seland JH. Simultaneous, bilateral rhegmatogenous retinal detachment. Acta Ophthalmol Scand 2000; 78:354–358.
Copyright © 2022 Asia-Pacific Academy of Ophthalmology. Published by Wolters Kluwer Health, Inc. on behalf of the Asia-Pacific Academy of Ophthalmology.