Gamulescu, Maria-Andreea and Roider, Johann and Gabel, Veit-Peter (2001) Exudative retinal detachment in macular hole surgery using platelet concentrates - a case report. GRAEFES ARCHIVE FOR CLINICAL AND EXPERIMENTAL OPHTHALMOLOGY, 239 (3). pp. 227-229. ISSN 0721-832X
Full text not available from this repository. (Request a copy)Abstract
Introduction: Retinal detachment after macular hole surgery is a rare complication, usually occurring because of small, peripheral holes. We present a patient with a high bullous exudative retinal detachment following pars plana vitrectomy. Case report: A healthy 69-year-old patient presented with a macular hole stage Lll of the left eye. Correct ed visual acuity was 20/200. Pars plana vitrectomy was performed without peeling of the internal limiting membrane or an epiretinal membrane, a few drops of platelet concentrate were instilled onto the hole, and the bulbus was filled subtotally with a non-expanding SF6/air mixture. On the 3rd postoperative day a small retinal detachment of the inferior half of the retina was noticed that increased over the next 3 days until it reached the inferior vascular arcade. During the following 3 days a spontaneous remission occurred with complete reattachment of the retina. Six weeks after operation the retina was completely reattached, the macular hole was closed, and the visual acuity was 20/200 with a slight cataract. Conclusion: Retinal detachments after macular hole surgery are not always of rhegmatogenous nature but may also be exudative and related to an inflammatory reaction caused by adjuvants. When a retinal detachment occurs immediately after macular hole surgery without detectable holes it may be advisable to wait for some days before reoperation.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | COMPLICATIONS; VITRECTOMY; |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Augenheilkunde |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 14 Feb 2022 07:04 |
| Last Modified: | 14 Feb 2022 07:04 |
| URI: | https://pred.uni-regensburg.de/id/eprint/41695 |
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