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Serous retinal detachment after panretinal photocoagulation for proliferative diabetic retinopathy: a case report
BACKGROUND: Proliferative diabetic retinopathy is a major cause of visual impairment in working-age adults worldwide. Panretinal photocoagulation is a cornerstone in its management; however, it may include a range of side effects and complications, one of these being serous retinal detachment. To th...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5604409/ https://www.ncbi.nlm.nih.gov/pubmed/28923115 http://dx.doi.org/10.1186/s13256-017-1424-y |
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author | Schatz, Patrik Aldayel, Ahmed Taskintuna, Ibrahim Abdelkader, Ehab Mura, Marco |
author_facet | Schatz, Patrik Aldayel, Ahmed Taskintuna, Ibrahim Abdelkader, Ehab Mura, Marco |
author_sort | Schatz, Patrik |
collection | PubMed |
description | BACKGROUND: Proliferative diabetic retinopathy is a major cause of visual impairment in working-age adults worldwide. Panretinal photocoagulation is a cornerstone in its management; however, it may include a range of side effects and complications, one of these being serous retinal detachment. To the best of our knowledge, this is the first report of the use of intravitreal injection of bevacizumab for serous retinal detachment after panretinal photocoagulation. CASE PRESENTATION: A 24-year-old Saudi man with poorly controlled type 1 diabetes presented with bilateral progressive proliferative retinopathy in spite of several sessions of panretinal photocoagulation. After one additional such session, he developed bilateral serous retinal detachment and vision loss, which was managed with a single bilateral intravitreal bevacizumab injection. The serous retinal detachment subsided with partial recovery of vision. CONCLUSIONS: Serous retinal detachment after panretinal photocoagulation for proliferative diabetic retinopathy is a rare complication nowadays. In this case, it seems that excessive photocoagulation exceeded the energy-absorbing capacity of the retinal pigment epithelium, leading to a disruption of the blood–retinal barrier. A single injection of bilateral intravitreal bevacizumab was sufficient to control the serous retinal detachment. This effect may have been due to a reduction of vascular leakage resulting from the mechanism of action of this drug. No complications were noted from the injection. Caution should be exerted when attempting bilateral panretinal photocoagulation. |
format | Online Article Text |
id | pubmed-5604409 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-56044092017-09-21 Serous retinal detachment after panretinal photocoagulation for proliferative diabetic retinopathy: a case report Schatz, Patrik Aldayel, Ahmed Taskintuna, Ibrahim Abdelkader, Ehab Mura, Marco J Med Case Rep Case Report BACKGROUND: Proliferative diabetic retinopathy is a major cause of visual impairment in working-age adults worldwide. Panretinal photocoagulation is a cornerstone in its management; however, it may include a range of side effects and complications, one of these being serous retinal detachment. To the best of our knowledge, this is the first report of the use of intravitreal injection of bevacizumab for serous retinal detachment after panretinal photocoagulation. CASE PRESENTATION: A 24-year-old Saudi man with poorly controlled type 1 diabetes presented with bilateral progressive proliferative retinopathy in spite of several sessions of panretinal photocoagulation. After one additional such session, he developed bilateral serous retinal detachment and vision loss, which was managed with a single bilateral intravitreal bevacizumab injection. The serous retinal detachment subsided with partial recovery of vision. CONCLUSIONS: Serous retinal detachment after panretinal photocoagulation for proliferative diabetic retinopathy is a rare complication nowadays. In this case, it seems that excessive photocoagulation exceeded the energy-absorbing capacity of the retinal pigment epithelium, leading to a disruption of the blood–retinal barrier. A single injection of bilateral intravitreal bevacizumab was sufficient to control the serous retinal detachment. This effect may have been due to a reduction of vascular leakage resulting from the mechanism of action of this drug. No complications were noted from the injection. Caution should be exerted when attempting bilateral panretinal photocoagulation. BioMed Central 2017-09-19 /pmc/articles/PMC5604409/ /pubmed/28923115 http://dx.doi.org/10.1186/s13256-017-1424-y Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Case Report Schatz, Patrik Aldayel, Ahmed Taskintuna, Ibrahim Abdelkader, Ehab Mura, Marco Serous retinal detachment after panretinal photocoagulation for proliferative diabetic retinopathy: a case report |
title | Serous retinal detachment after panretinal photocoagulation for proliferative diabetic retinopathy: a case report |
title_full | Serous retinal detachment after panretinal photocoagulation for proliferative diabetic retinopathy: a case report |
title_fullStr | Serous retinal detachment after panretinal photocoagulation for proliferative diabetic retinopathy: a case report |
title_full_unstemmed | Serous retinal detachment after panretinal photocoagulation for proliferative diabetic retinopathy: a case report |
title_short | Serous retinal detachment after panretinal photocoagulation for proliferative diabetic retinopathy: a case report |
title_sort | serous retinal detachment after panretinal photocoagulation for proliferative diabetic retinopathy: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5604409/ https://www.ncbi.nlm.nih.gov/pubmed/28923115 http://dx.doi.org/10.1186/s13256-017-1424-y |
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