Ellex - The Definitive Diagnosis

Case 1 The Definitive Diagnosis	This patient is a 70+ year-old male who underwent cataract extraction, OD. At the time of surgery, the posterior capsule broke and the lens nucleus dropped into the vitreous cavity. The nucleus was retrieved during the procedure and the eye was closed without IOL placement.
	Vertical transverse at 9:00: At high gain, the vitreous hemorrhage is still evident, but there appears to be an area of both retinal and choroidal elevation as well as an area of only retinal elevation. These areas of elevation were at the 7:00 and 10:00 meridians respectively, anterior to the equator.
	Vertical transverse of 9:00: With reduced gain, scanning just slightly more anterior than the previous image, one clearly sees an echo-lucent area between the retina and sclera. One can see the area where the retina and choroid are elevated together and the retina and choroid clearly separate from one another.
	Vertical Transverse of 9:00: In this view, even further anterior to the equator than the previous image, a retinal tear is clearly seen. On kinetic examination, a strand of vitreous is seen and moves in conjuction with the retina and appeares to be attached. The retinal and choroidal separations are also clearly visable.