Prevalence of clinical asymptomatic retinal detachment in myopic population

Orucov, Faik; Galbinur, Tural; Frenkel, Shahar; Landau, David; Solomon, Abraham; Hemo, Itzhak; Frucht‐Pery, Joseph; Chowers, Itay

doi:10.1136/bjo.2007.135699

Cited by 5 publications

(2 citation statements)

References 26 publications

(25 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This variation between several studies is attributed to various criteria selected in each study. 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%

“…Although it is an acute, vision threatening condition, in rare cases it is presented in a chronic, slowly progressive form, which is not usually diagnosed until it has reached an advanced stage. 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%

See 1 more Smart Citation

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

et al. 2014

View full text Add to dashboard Cite

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.

show abstract