Abstract

A 54-year-old lady presented with the complaints of diminished vision in her left eye for 4 months. She was a known diabetic and hypertensive. On examination the best corrected visual acuity (BCVA) was found to be 6/9, N6 her right eye and counting fingers at 2 meters in her left eye. Left fundus had microaneurysms, dot blot hemorrhages, para foveal hard exudates and macular oedema.OCT of the left eye revealed macular edema with large intraretinal cystic spaces and neurosensory retinal detachment. There was a discontinuity in the outer retinal layers with a complete optical gap leading to communication between neurosensory detachment and intraretinal cystic spaces. We termed it as outer retinal rip. Central macular thickness was measured to be 256 micron in right eye and 461 micron in left eye.
Inj Brolucizumab was given in every 6 week. After the 5th injection vision was restored to 6/12 N10 and OCT scan showed resolved macular oedema and disappearance of outer retinal RIP.