A rare case of rhegmatogenous retinal detachment in an ellip
The present case has been reported in the Indian Journal of Ophthalmology.

The patient, being a moderate myope with an axial length of 24.71 mm, presented with a fresh rhegmatogenous retinal detachment and marked peripheral chorioretinal degeneration.

Difficulty in maneuvering with the standard 23 gauge vitrectomy cutter, inability to identify the break due to poor peripheral contrast, inadequate laser uptake, and an unusual large silicon oil fill (7.3 ml) were a few findings raising suspicion.

Postoperative ocular ultrasonography showed an oblate eyeball with a relatively longer oblique axis (26.1 mm) as compared to the axial length confirming the suspicion.

Major takeaway:-
- Oblateness should be suspected when the chorioretinal degenerations are more marked in the periphery as compared to the posterior pole.

- Intraoperative difficulties should be kept in mind while operating such cases.

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