A bstract Unilateral retinal detachment (RD) in young adults is uncommon, especially when accompanied by lens pathology such as posterior capsule microcalcifications. We report the case of a 20-year-old male who presented with visual disturbances in the right eye, where multimodal imaging—including slit-lamp examination, B-scan ultrasonography, and optical coherence tomography (OCT)—revealed minimal exudative RD, posterior lens capsule microcalcifications visible both clinically and on imaging, and vitreous opacities. OCT confirmed neurosensory elevation with subretinal fluid pockets and irregular outer retinal architecture. Systemic investigations showed proteinuria and mildly elevated C-reactive protein, without other systemic or autoimmune markers. Follow-up is ongoing, and initial management involves close ophthalmologic monitoring and further immunological workup. This case underscores the diagnostic importance of multimodal imaging and a high index of suspicion for isolated ocular inflammation in atypical retinal presentations.
Patel et al. (Tue,) studied this question.