Chronic Retinal Detachment with Secondary Retinal Macrocyst and Peripheral Neovascularization

Labriola, Leanne T.; Brant, Arthur; Eller, Andrew W.

doi:10.1080/08820530802508561

Cited by 14 publications

(11 citation statements)

References 1 publication

(2 reference statements)

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“… 7 Moreover, chronic retinal detachment with macrocyst formation has been linked to peripheral capillary nonperfusion, telangiectasias, and retinal neovascularization. 8 Neovascular glaucoma has also been reported in cases of X-linked retinoschisis, 9 , 10 branch retinal vein occlusion, 11 and peripheral retinal detachment. 12 …”

Section: Discussionmentioning

confidence: 97%

Neovascularization of the iris in retinoschisis

Slean

Chen

et al. 2017

American Journal of Ophthalmology Case Reports

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PurposeTo report the association of rubeosis iridis with chronic bullous degenerative peripheral retinoschisis.ObservationsA 63-year-old female presented with acute hyphema and neovascularization of the iris in association with elevated intraocular pressure. Posterior segment examination including imaging revealed no vascular occlusion as a potential cause. However, large, peripheral bullous retinoschisis was noted in the right eye. No nonperfusion aside from that seen within the schism detachment, or neovascularization of the retina on wide-field fundus photography or fluorescein angiography was noted. Bullous retinoschisis was also found in the left eye. The patient was treated conservatively with prednisolone acetate and timolol eye drops.Conclusions and importanceChronic bullous retinoschisis can be associated with anterior segment neovascularization such as rubeosis iridis, presumably due to non-perfusion within the retinoschisis cavity.

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Section: Discussionmentioning

confidence: 97%

Neovascularization of the iris in retinoschisis

Slean

Chen

et al. 2017

American Journal of Ophthalmology Case Reports

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“…Young age, myopic refraction, inferior position of detachment and the presence of small atrophic holes are considered as main risk factors for the appearance of chronic, asymptomatic rhegmatogenous retinal detachments [ 2 , 3 ]. In rare cases they are combined with the presence of retinal microcysts and retinal neovascularization [ 4 , 5 ].…”

Section: Discussionmentioning

confidence: 99%

“…Younger age and myopic refraction are factors related to the appearance of the chronic rhegmatogenous retinal detachment(RRD) [ 2 , 3 ]. Peripheral retinal neovascularization is an extremely rare manifestation of chronic RRD [ 4 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

Peripheral sea-fan retinal neovascularization as a manifestation of chronic rhegmatogenous retinal detachment and surgical management

et al. 2014

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BackgroundTo report the rare occurrence of peripheral retinal sea-fan neovascularization in a patient with chronic rhegmatogenous retinal detachment and describe the surgical management.Case presentationA 29-year-old female patient was referred to our department by her ophthalmologist for investigation and treatment of peripheral retinal neovascularization in her right eye(RE). Visual acuity(VA) at presentation was 20/200 RE and 20/20 LE. Fundoscopy of the RE revealed a chronic inferotemporal retinal detachment and peripheral neovascularization with a sea fan configuration. Fundoscopy of the LE was without any findings. Fluorescein angiography confirmed the sea fan neovascularization in the RE with leakage of the newly formed vessels and peripheral ischemia while the LE did not demonstrate any neovascularization angiographically. Family history was negative for retinitis pigmentosa and haemoglobinopathies. Patient underwent full blood count and haemoglobin electrophoresis to exclude thrombocytosis and sickle cell anaemia, and serum angiotensin-converting enzyme (SACE) measurement to exclude sarcoidosis. Examination with scleral indentation of the RE revealed 2 peripheral small retinal holes close to the ora serrata . The patient underwent a scleral buckling procedure with a small segmental buckle limited to the area of the holes and cryotherapy. Ccryotherapy was not applied to the area with neovascularization and no subretinal fluid drainage was performed. The detached retina was successfully re-attached surgically and the subretinal fluid was gradually absorbed within three months from the time of surgery. Complete regression of neovascularization was evident 2 months postoperatively and VA improved to 20/30. Three years later the clinical and functional findings remain unchanged.ConclusionOur case illustrates the rare but possible association of chronic retinal detachment with peripheral retinal sea-fan neovascularization; although the incidence is rare it may pose diagnostic and treatment dilemmas. In such cases and in the presence of retinal breaks, cryotherapy and a segmental buckle limited to the retinal holes and not on the neovascularization seems to suffice for the regression of the new vessels.

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“…Hemorrhagic macrocysts are rare. The presence of blood in the macrocyst cavity could stem from rupture of the retinal blood vessels lining the macrocyst,4–6 bridging retinal vessels over a retinal tear, or peripheral neovascularization 8,9…”

Section: Discussionmentioning

confidence: 99%

Hemorrhagic retinal macrocysts, simulating choroidal melanoma: a case report

Mansour¹,

Jaroudi²

2013

OPTH

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IntroductionHemorrhagic retinal macrocysts are extremely rare retinal lesions that can be mistaken for malignancy with subsequent enucleation. Such a case was diagnosed, by a retina specialist based on ultrasonography, as a choroidal melanoma with exudative retinal detachment and the patient was advised to have brachytherapy.Case presentationA 15-year-old Caucasian boy suffered sudden visual loss in the left eye and exam revealed vitreous hemorrhage. Magnetic resonance imaging revealed the mass as hyperintense on T1-weighted images and isointense on T2-weighted images with no enhancement after gadolinium dye. Following scleral buckle, the hemorrhagic retinal macrocyst collapsed gradually over a period of 5 weeks. The patient recovered visual acuity of 6/7.5 at the 1-year follow up.ConclusionA hemorrhagic retinal macrocyst can be erroneously diagnosed as choroidal melanoma. Hints for the presence of retinal macrocysts include: egg shape; cyst wall configuration; no attachment to the choroid; and presence of retinal detachment.

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Chronic Retinal Detachment with Secondary Retinal Macrocyst and Peripheral Neovascularization

Abstract: Chronic, subclinical retinal detachments may rarely be associated with retinal macrocysts and retinal neovascularization. This altered retinal morphology can be delineated on wide-field fundus imaging, which aids in diagnosis and management.

Cited by 14 publications

References 1 publication

Neovascularization of the iris in retinoschisis

Neovascularization of the iris in retinoschisis

Peripheral sea-fan retinal neovascularization as a manifestation of chronic rhegmatogenous retinal detachment and surgical management

Hemorrhagic retinal macrocysts, simulating choroidal melanoma: a case report

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