Author: Jurica Predovi_ (Croatia)
Co-authors: Eva Kos, Damir Bosnar, Borna Šarić, Vlatka Brzović-Šarić, Senad Ramić, Josipa Bračić
Purpose
Pneumoretinopexy is a minimally invasive procedure used to manage retinal detachment in carefully selected cases. We present a case of rhegmatogenous retinal detachment in a highly myopic patient with lens coloboma treated with pneumoretinopexy combined with laser photocoagulation.
Setting/Venue
University Eye Clinic, University Hospital “Sveti Duh”, Sveti Duh 64, Zagreb, Croatia; Faculty of Dental Medicine and Health Osijek, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia
Methods
A 31 year old female was referred to our Clinic due to sudden floaters she noticed two days ago in front of her right eye. At referral her uncorrected visual acuity (UCVA) on Snellen chart in both eyes was finger counting improving to 0.2 with -24.00 Diopter Sphere (DS) in her right eye and 0.5 with -22.00 DS in her left eye. Intraocular pressure was normal. Cystalline lens coloboma and iris atrophy were found bilaterally. Fundus examination of a right eye revealed bullous rhegmatogenous retinal detachment in upper quadrants extending to fovea, with retinal degenerations on the upper periphery in the 10 to 2 o'clock position with a small atrophic hole on 1 o'clock position. Posterior vitreous detachment, vitreous opacities, signs of degenerative myopia, myopic maculopathy and peripheral retinal degenerations were found bilaterally. Globe axial length (measured on IOL Master 700®) of the right eye was 36.90 mm and 34.91 mm of the left eye. Patient underwent right eye pneumoretinopexy with intravitreal 0,5 mL of 100% SF6 gas tamponade and postoperative head up positioning. Barrage laser photocoagulation was carried out the following day on a reattached retina.
Results
Complete resolution of retinal detachment was noted one day after pneumoretinopexy and the best corrected visual acuity improved to 0.3 and remained on that level.
Conlusions
Pneumoretinopexy combined with additional laser photocoagulation proves to be successful in achieving retinal reattachment in case of rhegmatogenous retinal detachment secondary to superior break in highly myopic eye with lens coloboma.
Financial Disclosure
Novartis - consultant
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