CT retinal detachment
BMJ 2013; 347 doi: https://doi.org/10.1136/bmj.f4613 (Published 23 July 2013) Cite this as: BMJ 2013;347:f4613
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We read with interest the Minerva picture,
of Simon Kolb, David Dunleavy, Steven Naylor entitled "CT Retinal detachment".
However , we believe that the title of the article is misleading and could cause confusion in the interpretation of ct-scans by radiologists.
As the authors state themselves in the text this is the image of silicone oil filled eye usually misinterpreted by radiologists as vitreous hemorrhage.
We attach an image with actual retinal detachment as shown in the scan, where the detached retina is visible.
Competing interests: No competing interests
Re: CT retinal detachment
We would question the authors’ inference of a middle cerebral artery stroke based on the CT image they provide. The appearances on the CT are of a vasogenic oedema with 'finger-in-glove' type white matter hypodensity and cortical sparing. This is not consistent with the cytotoxic oedema expected of an acute infarct. We would suggest performing a post contrast CT study to rule out an underlying space occupying lesion.
Competing interests: No competing interests