Journal List > J Korean Ophthalmol Soc > v.57(10) > 1010435

J Korean Ophthalmol Soc. 2016 Oct;57(10):1645-1650. Korean.
Published online October 19, 2016.  https://doi.org/10.3341/jkos.2016.57.10.1645
©2016 The Korean Ophthalmological Society
Case of Atrophied Retina after Retinal Detachment Reoperation
Sung Il Kang, MD and Yu Cheol Kim, MD, PhD
Department of Ophthalmology, Keimyung University School of Medicine, Daegu, Korea.

Address reprint requests to Yu Cheol Kim, MD, PhD. Department of Ophthalmology, Keimyung University Dongsan Medical Center, #56 Dalseong-ro, Jung-gu, Daegu 41931, Korea. Tel: 82-53-250-8026, Fax: 82-53-250-7705, Email: eyedr@dsmc.or.kr
Received July 07, 2016; Revised August 16, 2016; Accepted September 30, 2016.

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.


Abstract

Purpose

To report a case of visual deterioration and atrophied retina after pars plana vitrectomy (PPV) and silicone oil tamponade for the treatment of retinal detachment with previous encircling scleral buckling.

Case summary

A 29-year-old female visited for treatment of rhegmatogenous retinal detachment (RRD) in the right eye which was not completely resolved after encircling scleral buckling. Logarithm of minimal angle of resolution (log MAR) and best corrected visual acuity (BCVA) was 0.3. Retinal detachment from 3 to 8 O'clock without macular involvement was identified. Pars plana vitrectomy, endophotocoagulation and silicone oil tamponade were performed. During the operation, retinal dialysis and retinal break at the superonasal periphery were observed. The patient complained of central scotoma at 2 days postoperatively and hyper-reflection of the inner retina was identified on optical coherence tomography (OCT). At 2 weeks postoperatively, the OCT image revealed a thin retina and impending macular hole. After 2 months, the silicone oil was removed. Although the retina was well attached, the retina remained atrophied and the log MAR BCVA was 0.16.

Conclusions

We report a rare case with deteriorated visual acuity after PPV and silicone oil tamponade for the retreatment of RRD in an atopic dermatitis patient.

Keywords: Atopic dermatitis; Rhegmatogenous retinal detachment; Silicone oils

Figures


Figure 1
Optical coherence tomography (OCT) findings of inferior and peripapillary fundus. (A) Preoperative findings show detached retina. (B) Postoperative day 2 findings reveal re-attached retina.
Click for larger image


Figure 2
Macular optical coherence tomography (OCT) findings. (A) Preoperative OCT shows normal structure of retina. (B) Hyperreflective inner retina and the silicone oil margin is identified at postoperative day 2. (C) The impending macular hole is revealed at postoperative 2 weeks. (D) Thin retina without macular hole is observed at postoperative 6 weeks.
Click for larger image


Figure 3
Fluorescein angiography (FAG) and indocyanine green angiography (ICG) findings after removal of silicone oil. (A) FAG shows delayed arteriovenous transit time and patchy hypofluoroscein at posterior pole in choroidal phase, 2 days after removal of silicone oil. (B) Two weeks after removal of silicone oil, FAG shows slight hypofluorescein in choroidal back flush and some hyperfluoroscein of stain but ICG findings is unremarkable.
Click for larger image

Notes

This study was presented as a poster session at the 115th Annual Meeting of the Korean Ophthalmological Society 2016.

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