PMID- 29468225 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220331 IS - 2451-9936 (Electronic) IS - 2451-9936 (Linking) VI - 9 DP - 2018 Mar TI - Multimodal imaging of macular subretinal deposits following intravitreal ocriplasmin injection. PG - 80-84 LID - 10.1016/j.ajoc.2018.01.016 [doi] AB - PURPOSE: Ocriplasmin is effective in closing macular holes due to vitreomacular traction. We present a case of macular subretinal material deposition observed with spectral-domain optical coherence tomography (SD-OCT) and multimodal imaging, following successful closure of a macular hole following intravitreal ocriplasmin injection. OBSERVATIONS: An 81-year-old male presented with decreased vision in the left eye due to a full-thickness macular hole secondary to vitreomacular traction. Ocriplasmin (Jetrea) was injected into the vitreous and hole closure was observed after one week. Macular subretinal material deposition developed along the outer surface of the resultant serous detachment on OCT one week post-injection. Fluorescein angiography demonstrated no expanding hyperfluorescence due to retinal or choroidal leak, or staining of the lesion. The material was mildly autofluorescent. The macular subretinal material complex spontaneously decreased with no significant effect on vision over 60 weeks. CONCLUSIONS AND IMPORTANCE: Macular subretinal material deposition has not previously been reported following intravitreal ocriplasmin injection. This material is likely composed of photoreceptor outer segments. It is important to recognize that macular subretinal deposits can occur following intravitreal ocriplasmin injection as it may cause diagnostic confusion and potentially influence the visual and anatomical outcomes following successful hole closure. FAU - Chow, Nicholas AU - Chow N AD - Sydney Retina Clinic & Day Surgery, (Lvl 13) 187 Macquarie St, Sydney, NSW, Australia. AD - Sydney Institute of Vision Science, (Lvl 7) 187 Macquarie St, Sydney, NSW, Australia. FAU - Hong, Thomas AU - Hong T AD - Sydney Retina Clinic & Day Surgery, (Lvl 13) 187 Macquarie St, Sydney, NSW, Australia. AD - Sydney Institute of Vision Science, (Lvl 7) 187 Macquarie St, Sydney, NSW, Australia. FAU - Chang, Andrew AU - Chang A AD - Sydney Retina Clinic & Day Surgery, (Lvl 13) 187 Macquarie St, Sydney, NSW, Australia. AD - Sydney Institute of Vision Science, (Lvl 7) 187 Macquarie St, Sydney, NSW, Australia. AD - Save Sight Institute, 8 Macquarie St, Sydney, NSW, Australia. LA - eng PT - Case Reports DEP - 20180110 PL - United States TA - Am J Ophthalmol Case Rep JT - American journal of ophthalmology case reports JID - 101679941 PMC - PMC5786887 OTO - NOTNLM OT - Jetrea OT - Macular integrity assessment OT - Macular subretinal material OT - Ocriplasmin OT - Optical coherence tomography OT - Vitreomacular traction EDAT- 2018/02/23 06:00 MHDA- 2018/02/23 06:01 PMCR- 2018/01/10 CRDT- 2018/02/23 06:00 PHST- 2017/05/20 00:00 [received] PHST- 2018/01/04 00:00 [revised] PHST- 2018/01/08 00:00 [accepted] PHST- 2018/02/23 06:00 [entrez] PHST- 2018/02/23 06:00 [pubmed] PHST- 2018/02/23 06:01 [medline] PHST- 2018/01/10 00:00 [pmc-release] AID - S2451-9936(17)30152-4 [pii] AID - 10.1016/j.ajoc.2018.01.016 [doi] PST - epublish SO - Am J Ophthalmol Case Rep. 2018 Jan 10;9:80-84. doi: 10.1016/j.ajoc.2018.01.016. eCollection 2018 Mar.