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Rhegmatogenous retinal detachment due to a macular hole in a patient with pars planitis: a case report

We report a rare case of rhegmatogenous retinal detachment due to a full-thickness macular hole in a young patient with pars planitis. This study was an interventional case report. A 38-year-old Asian man presented with acute reduction of vision in his left eye. His past ocular history revealed a pr...

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Autores principales: Stavrakas, Panagiotis, Androu, Angeliki A, Tranos, Paris, Kontou, Evgenia, Milia, Maria, Georgalas, Ilias
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4284013/
https://www.ncbi.nlm.nih.gov/pubmed/25565856
http://dx.doi.org/10.2147/TCRM.S70711
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author Stavrakas, Panagiotis
Androu, Angeliki A
Tranos, Paris
Kontou, Evgenia
Milia, Maria
Georgalas, Ilias
author_facet Stavrakas, Panagiotis
Androu, Angeliki A
Tranos, Paris
Kontou, Evgenia
Milia, Maria
Georgalas, Ilias
author_sort Stavrakas, Panagiotis
collection PubMed
description We report a rare case of rhegmatogenous retinal detachment due to a full-thickness macular hole in a young patient with pars planitis. This study was an interventional case report. A 38-year-old Asian man presented with acute reduction of vision in his left eye. His past ocular history revealed a precedent of two intravitreal steroid injections in his left eye, and fundoscopy revealed a total bullous retinal detachment along with 360° snowbanking at the pars plana. Precise preoperative visualization of the posterior pole was impossible due to a dense nuclear cataract. During surgery, an unexpected full-thickness macular hole with no associated epiretinal membrane was observed, which resulted in the retinal detachment. This case of chronic pars planitis complicated with a full-thickness macular hole resulting in retinal detachment was successfully treated with vitrectomy, internal limiting membrane peeling, and perfluoropropane tamponade. Visual acuity improved from hand movements to 6/36 Snellen at 12 months postsurgery. This case report illustrates the rare but possible association between pars planitis with macular hole formation and subsequent retinal detachment, underlying the beneficiary outcome of vitrectomy surgery both diagnostically and therapeutically.
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spelling pubmed-42840132015-01-06 Rhegmatogenous retinal detachment due to a macular hole in a patient with pars planitis: a case report Stavrakas, Panagiotis Androu, Angeliki A Tranos, Paris Kontou, Evgenia Milia, Maria Georgalas, Ilias Ther Clin Risk Manag Case Report We report a rare case of rhegmatogenous retinal detachment due to a full-thickness macular hole in a young patient with pars planitis. This study was an interventional case report. A 38-year-old Asian man presented with acute reduction of vision in his left eye. His past ocular history revealed a precedent of two intravitreal steroid injections in his left eye, and fundoscopy revealed a total bullous retinal detachment along with 360° snowbanking at the pars plana. Precise preoperative visualization of the posterior pole was impossible due to a dense nuclear cataract. During surgery, an unexpected full-thickness macular hole with no associated epiretinal membrane was observed, which resulted in the retinal detachment. This case of chronic pars planitis complicated with a full-thickness macular hole resulting in retinal detachment was successfully treated with vitrectomy, internal limiting membrane peeling, and perfluoropropane tamponade. Visual acuity improved from hand movements to 6/36 Snellen at 12 months postsurgery. This case report illustrates the rare but possible association between pars planitis with macular hole formation and subsequent retinal detachment, underlying the beneficiary outcome of vitrectomy surgery both diagnostically and therapeutically. Dove Medical Press 2014-12-30 /pmc/articles/PMC4284013/ /pubmed/25565856 http://dx.doi.org/10.2147/TCRM.S70711 Text en © 2015 Stavrakas et al. This work is published by Dove Medical Press Limited, and licensed under Creative Commons Attribution – Non Commercial (unported, v3.0) License The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Case Report
Stavrakas, Panagiotis
Androu, Angeliki A
Tranos, Paris
Kontou, Evgenia
Milia, Maria
Georgalas, Ilias
Rhegmatogenous retinal detachment due to a macular hole in a patient with pars planitis: a case report
title Rhegmatogenous retinal detachment due to a macular hole in a patient with pars planitis: a case report
title_full Rhegmatogenous retinal detachment due to a macular hole in a patient with pars planitis: a case report
title_fullStr Rhegmatogenous retinal detachment due to a macular hole in a patient with pars planitis: a case report
title_full_unstemmed Rhegmatogenous retinal detachment due to a macular hole in a patient with pars planitis: a case report
title_short Rhegmatogenous retinal detachment due to a macular hole in a patient with pars planitis: a case report
title_sort rhegmatogenous retinal detachment due to a macular hole in a patient with pars planitis: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4284013/
https://www.ncbi.nlm.nih.gov/pubmed/25565856
http://dx.doi.org/10.2147/TCRM.S70711
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