Fig. 4From: Internal limiting membrane detachment in acute central retinal artery occlusion: a novel prognostic sign seen on OCTSequential optical coherence tomography scans of the right eye in a patient with acute central retinal artery occlusion developing internal limiting membrane detachment (Case 5). a Optical coherence tomography (OCT) scans of the macula at presentation showing inner retinal thickening, hyperreflectivity and loss of retinal layer stratification. Immediate ocular massage with anterior chamber paracentesis was done and the patient was started on oral acetazolamide. b After 3Â days of presentation, the OCT scan shows hyperreflective spots in the posterior vitreous, inner retinal thickening and hyperreflectivity, and loss of retinal layer stratification. Internal limiting membrane detachment was noted at the fovea. Hyperreflective dots and material were noted within the separated ILM space. c At 10Â days post presentation, there is reduction in the retinal thickness, reduced hyperreflectivity and layering of the inner retinal layers is identified. d At the final visit, 4Â weeks post presentation, the OCT scan shows total atrophy and thinning of the retinal layers with no improvement in visual acuityBack to article page