Two Cases of Acute Spontaneous Resolution in Macula-Off Rhegmatogenous Retinal Detachment

Jung Yul Park; Min Kyu Shin; Sung Who Park; Ik Soo Byon; Ji Eun Lee

doi:10.7469/JKOS.2015.56.03.466

Journal List > J Korean Ophthalmol Soc > v.56(3) > 1010231

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Park, Shin, Park, Byon, and Lee: Two Cases of Acute Spontaneous Resolution in Macula-Off Rhegmatogenous Retinal Detachment

Original Article

J Korean Ophthalmol Soc 2015;56(3):466-470.

Published online: 7 September 2015

DOI: https://doi.org/10.7469/JKOS.2015.56.03.466

Two Cases of Acute Spontaneous Resolution in Macula-Off Rhegmatogenous Retinal Detachment

Jung Yul Park, MD¹, Min Kyu Shin, MD¹, Sung Who Park, MD¹, Ik Soo Byon, MD^2,³, Ji Eun Lee, MD, PhD¹

¹Department of Ophthalmology, Pusan National University School of Medicine, Busan, Korea

²Department of Ophthalmology, Pusan National University Yangsan Hospital, Yangsan, Korea ³

³Biomedical Research Institute, Pusan National University Yangsan Hospital, Yangsan, Korea

￭ Address reprint requests to Sung Who Park, MD Department of Ophthalmology, Pusan National University Hospital, #179 Gudeok-ro, Seo-gu, Busan 602-739, Korea Tel: 82-51-240-7326, Fax: 82-51-240-7341 E-mail: oph97@naver.com

Received 11 October 201427 November 2014 Accepted 17 February 2015

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

초록

Purpose:

To report 2 cases of acute spontaneous resolution of rhegmatogenous retinal detachment (ASRRRD).

Case summary:

(Case 1) A 28-year-old male presented with acute visual loss in his left eye for 5 days. The best corrected visual acuity was 10/200 in the left eye and fovea-off retinal detachment with retinal break at the 11-o’clock location was observed. The retina was reattached after 5 days without any treatment. Prophylactic barrier photocoagulation was performed around the break and 3 months after ASRRRD visual acuity improved to 20/30. (Case 2) A 19-year-old male was referred with a history of blurry vision and visual disturbance in his right eye. He underwent a cataract surgery due to traumatic cataract in his right eye 3 years prior. The best corrected visual acuity was 10/200 in the right eye and fovea-off retinal detachment with retinal break at the 10:30-o’clock location was observed. The retina reattached spontaneously after 5 days. Prophylactic barrier photocoagulation was performed around the break and 3 months after ASRRRD visual acuity improved to 20/30.

Conclusions:

It would be better to check the status of fundus and the visual acuity before the surgery in the cases of rhegmatogenous retinal detachment in young age.

Keywords: Rhegmatogenous retinal detachment, Sponataneous reattachment

References

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Figure 1.

Case 1 patient. (A) Bullous rhegmatogenous retinal detachment is observed at the area inferior to the margin of retinal detachment (white arrow heads) and retinal break is located at 11 o’clock direction anterior to the equator (red dotted circle). (B, C) Macula-off retinal detachment is demonstrated by ultrasonograph and ocular computed tomography (OCT) images. (D) Acute spontaneous reattachment of rhegmatogenous retinal detachment (ASRRRD) after 5 days without any treatment. (E, F) ASRRRD and no definite posterior vitreous detachement are observed in ultrasonograph and OCT images. (G, H, I) Recurrence of rhegmatogenous retinal detachment with dispersive vitreous hemorrhage after blunt trauma was occurred and demonstrated by fundus photograph, ultrasonograph and OCT images. Margin of retinal detachment (white arrow heads) and location of new retinal tear (red dotted cir-cle) are indicated.

Figure 2.

Case 2 patient. (A) Margin of retinal detachment (white arrow heads) and location of lattice degeneration with atrophic hole (red dotted circle) are indicated. (B, C) Macula-off retinal detachment is observed in ultrasonograph and ocular computed tomography (OCT) images. (D) Acute spontaneous reattachment of rhegmatogenous retinal detachment (ASRRRD) after 3 days without any treatment. Barrier photocoagulation (red dotted circle) was done right after reattachment. (E, F) ASRRRD and no definite posterior vitreous detachement are observed in ultrasonograph and OCT images.

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