Chronic retinal detachment with secondary retinal macrocyst and peripheral neovascularization

Semin Ophthalmol. Jan-Feb 2009;24(1):2-4. doi: 10.1080/08820530802508561.


Purpose: To report the association of a retinal macrocyst with peripheral retinal neovascularization that occurred secondary to a chronic, subclinical rhegmatogenous retinal detachment and to illustrate the utility of wide-field fundus photography.

Methods: Case Report.

Results: A 37 year-old male was diagnosed with chronic retinal detachment on routine eye examination. Further evaluation revealed intraretinal hemorrhages and a retinal macrocyst. Diagnosis was confirmed with wide-field fundus photography and fluorescein angiography. Surgery was recommended to repair the retinal detachment, to allow spontaneous resolution of the macrocyst.

Conclusion: Chronic, subclinical retinal detachments may rarely be associated with retinal macrocysts and retinal neovascularization. This altered retinal morphology can be delineated on wide-field fundus imaging, which aids in diagnosis and management.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Chronic Disease
  • Cysts / diagnosis*
  • Fluorescein Angiography*
  • Humans
  • Male
  • Retinal Detachment / diagnosis*
  • Retinal Diseases / diagnosis*
  • Retinal Hemorrhage / diagnosis*
  • Retinal Neovascularization / diagnosis*