Limits...
Surgical management of bilateral exudative retinal detachment associated with central serous chorioretinopathy.

Kang JE, Kim HJ, Boo HD, Kim HK, Lee JH - Korean J Ophthalmol (2006)

Bottom Line: However, the subretinal fluid was not absorbed.The retina was attached successfully in both eyes.Visual acuity improved to 20/50 in his left eye but did not improve in the right eye due to subretinal fibrotic scarring and atropic changes on the macula.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, Mokdong Hospital, Ewha Womans University College of Medicine, Seoul, Korea.

ABSTRACT

Purpose: To report a case of bilateral bullous exudative retinal detachment in central serous chorioretinopathy (CSC) which was attached by vitrectomy and internal drainage of the subretinal fluid.

Methods: A 47-year-old man affected by bilateral atypical CSC with a bullous retinal detachment with subretinal exudate. A fluorescein angiogram (FAG) showed multiple points of leakage and staining of subretinal fibrosis. A tentative diagnosis of Vogt-Koyanagi-Harada (VKH) syndrome was made and the patient was treated with systemic corticosteroids and immunosuppressive agents. However, the subretinal fluid was not absorbed. He was then treated with vitrectomy and internal drainage of subretinal fluid.

Results: The retina was attached successfully in both eyes. Visual acuity improved to 20/50 in his left eye but did not improve in the right eye due to subretinal fibrotic scarring and atropic changes on the macula.

Conclusions: Our case suggests that the surgical management of bullous exudative retinal detachment is safe and necessary.

Show MeSH

Related in: MedlinePlus

Color fundus photographs (A, B) after vitrectomy and internal drainage of subretinal fluid of both eyes. (A) Right eye and (B) left eye. Demonstrating an attached retina with atrophic change and subretinal proliferation.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC2908829&req=5

Figure 6: Color fundus photographs (A, B) after vitrectomy and internal drainage of subretinal fluid of both eyes. (A) Right eye and (B) left eye. Demonstrating an attached retina with atrophic change and subretinal proliferation.


Surgical management of bilateral exudative retinal detachment associated with central serous chorioretinopathy.

Kang JE, Kim HJ, Boo HD, Kim HK, Lee JH - Korean J Ophthalmol (2006)

Color fundus photographs (A, B) after vitrectomy and internal drainage of subretinal fluid of both eyes. (A) Right eye and (B) left eye. Demonstrating an attached retina with atrophic change and subretinal proliferation.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2908829&req=5

Figure 6: Color fundus photographs (A, B) after vitrectomy and internal drainage of subretinal fluid of both eyes. (A) Right eye and (B) left eye. Demonstrating an attached retina with atrophic change and subretinal proliferation.
Bottom Line: However, the subretinal fluid was not absorbed.The retina was attached successfully in both eyes.Visual acuity improved to 20/50 in his left eye but did not improve in the right eye due to subretinal fibrotic scarring and atropic changes on the macula.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, Mokdong Hospital, Ewha Womans University College of Medicine, Seoul, Korea.

ABSTRACT

Purpose: To report a case of bilateral bullous exudative retinal detachment in central serous chorioretinopathy (CSC) which was attached by vitrectomy and internal drainage of the subretinal fluid.

Methods: A 47-year-old man affected by bilateral atypical CSC with a bullous retinal detachment with subretinal exudate. A fluorescein angiogram (FAG) showed multiple points of leakage and staining of subretinal fibrosis. A tentative diagnosis of Vogt-Koyanagi-Harada (VKH) syndrome was made and the patient was treated with systemic corticosteroids and immunosuppressive agents. However, the subretinal fluid was not absorbed. He was then treated with vitrectomy and internal drainage of subretinal fluid.

Results: The retina was attached successfully in both eyes. Visual acuity improved to 20/50 in his left eye but did not improve in the right eye due to subretinal fibrotic scarring and atropic changes on the macula.

Conclusions: Our case suggests that the surgical management of bullous exudative retinal detachment is safe and necessary.

Show MeSH
Related in: MedlinePlus