Rhegmatogenous retinal detachment secondary to white without pressure

Figure 1: (a) A color fundus photograph showing a pale attached retina with a well-demarcated white without pressure (WWOP) area from 12 to 8 clock hours; (b) A retinal tear in the superotemporal quadrant at the inner margin of WWOP with detached retina involving the macula; (c) post vitreoretinal surgery, the attached retina with silicone oil in situ with old laser marks at the margins of the retinal tearA 50 year old gentleman presented with complaints of left eye (LE) painless diminution of vision for 3 days. Right eye best corrected visual acuity (BCVA) and LE was 20/30 and 20/500, respectively. Five years ago, LE showed large area of white without pressure (WWOP) involving retinal periphery [Fig 1a]. Currently, LE fundus showed rhegmatogenous retinal detachment involving the macula with large retinal break of 2.5 clock hours in the superotemporal periphery at the margin of WWOP [Fig 1b]. The patient underwent surgical intervention with silicone oil tamponade following which the retina was attached [Fig. 1c]. Retinal tears (GRT) are known to occur at posterior border of WWOP areas due to dynamic vitreous traction. They can occur spontaneously or later as posterior vitreous detachment usually stops at the posterior border causing focal vitreoretinal adhesion and traction leading to tear formation.[1] Declaration of patient consent The authors certify that they have obtained all appropriate patient consent forms. In the form, the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed. Financial support and sponsorship: Nil. Conflicts of interest: There are no conflicts of interest.