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

Abstract

Topical corticoid therapy alone may be sufficient to achieve quick resolution of exudative retinal detachment secondary to glaucoma surgery in nanophthalmic eyes.

Surgical Approaches to Serous Retinal Detachment With Retina–Lens Touch in Eyes With Nanophthalmos

“…Special anatomic features of nanophthalmos. [5][6][7][8][9][10][11][12][13][14][15][16][17][18] zonular dialysis occurred after a cotton applicator was applied to the injection site in an effort to control the reflux of hyaluronic acid or air. The lens dislocated into the vitreous cavity in Cases 4 and 5 after the eye was reinflated with a balanced salt solution injected through a limbal incision.…”

“…31 Medical therapy with oral corticosteroids in uveal effusion syndrome is well established but was deemed ineffective in nanophthalmos. 10,11 Elgin et al 9 described a patient with nanophthalmos and mild exudative RD that resolved rapidly after administration of the topical corticosteroid alone. The authors suggested that the corticosteroid reduced inflammation and stabilized the blood-ocular barrier, thereby improving regression.…”

“…These eyes have very anterior insertion of the retina, a large lens, short zonules, a shallow anterior chamber (AC) (with a propensity for angle closure), and a noticeably thickened sclera and choroid (Figure 1). [5][6][7][8][9][10][11][12][13][14][15][16][17][18] Vitrectomy is dangerous because it can result in peripheral holes (anterior retinal insertion), 12 which can cause an exudative RD to become more complex and require silicone oil tamponade or multiple surgical procedures. 12,13 In this case series, we describe the anatomic and visual results of surgical procedures for serous RD with retina-lens touch in eyes with nanophthalmos.…”

Unusual rapid resolution of postsclerectomy exudative retinal detachment with topical NSAIDs therapy in a case of nanophthalmos

“…Previous studies have demonstrated that some treatments can effectively treat ERD in patients with nanophthalmos; these treatments include corticosteroid therapy, NSAID therapy, and surgical procedures. 6 , 7 , 10 , 11 The mechanism by which ERD is resolved by corticosteroids is a matter of speculation. Ufuk et al.…”

“… 10 suggested that treatment with high doses of corticosteroid reduces inflammation, and that this may be related to the ability of corticosteroids to stabilize the blood–ocular barrier, thereby improving regression. Those authors described a patient with nanophthalmos 10 in whom ERD was unusually rapidly resolved by treatment with topical corticosteroid alone. However, in our patient, during the initial instance of ERD, the patient did not respond to steroids, and we therefore employed a surgical approach.…”