Exudative retinal detachment in nanophthalmos

Abstract

ABSTRACT.Purpose: To report the treatment of exudative retinal detachment in a patient with nanophthalmos. Methods: A 46-year-old man with bilateral nanophthalmos suffered from acute angle-closure glaucoma in his left eye. The first day after a peripheral iridectomy an exudative retinal detachment was obseved. Two months later a partial thickness sclerectomy with a central sclerostomy, covered by a thin film of absorbable gelatine, was performed in each quadrant of the left eye. Results: The retinal detachment gradually resolved and after eight months the retina was completely reattached. Vision, which had been limited to hand movements, improved to 6/18 with correction. Conclusion: Scleral resections are effective in the treatment of nanophthalmic retinal detachment. The use of absorbable gelatine film to cover the sclerectomized area may prevent regeneration of scleral tissue and recurrence of the exudative retinal detachment.

Exudative Retinal Detachment Associated with Complicated Retrobulbar Anesthesia

“…In our study, isolated exudative RD might be due to compression of ocular venous drainage system like a vortex vein by retrobulbar hematoma and elevated intraorbital pressure [9] [10]. Under normal conditions, fluid is transported from vitreous to the choroid by active pumping function of retinal pigment epithelium and hydrostatic gradient.…”

“…However, quadrantic localization of the exudative RD might suggest vortex vein compression or damage as in nanophthalmic eyes and eyes underwent scleral buckling surgery [9] [10]. Rapid spontaneous resolution of exudative RD postoperatively can be explained with normalization of the intraorbital pressure.…”

“…Under normal conditions, fluid is transported from vitreous to the choroid by active pumping function of retinal pigment epithelium and hydrostatic gradient. Deterioration in inflow-outflow balance leads to accumulation of fluid in the subretinal area and exudative RD develops [9] [10].…”

Unusual Rapid Resolution of Posttrabeculectomy Exudative Retinal Detachment With Only Topical Corticosteroid Therapy in a Case of Nanopthalmos

“…[1][2][3][4] Secondary angle-closure glaucoma, choroidal effusion, and exudative retinal detachment (RD) are frequent in these cases because of crowding the anterior chamber as a result of a high lens/eye volume ratio and the presence of thick and abnormal sclera. [5][6][7][8][9][10][11] We report a patient with angle-closure glaucoma secondary to nanophthalmos in whom exudative RD developed at the fifth day of an uncomplicated trabeculectomy with an unusual resolution in 2 days under topical corticosteroid therapy.…”

Combined 23-G Pars Plana Vitrectomy and Lensectomy in the Management of Glaucoma Associated with Nanophthalmos

“…Ultimately, surgical management is required in eyes with uncontrolled intraocular pressure (IOP) due to the development of extensive PAS [12,13] . However, filtration surgery in these patients is quite challenging, mainly because of the high risk of intra-and postoperative complications [14,15] .…”