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Recurrent macular detachment and retinoschisis associated with intrachoroidal cavitation in a normal eye.

Akimoto M, Akagi T, Okazaki K, Chihara E - Case Rep Ophthalmol (2012)

Bottom Line: These were treated with intravitreal bevacizumab and then absorbed within 9 months.These were absorbed within 4 months without treatment.This case suggests that similar cases of cystoid macular edema after cataract surgery can occur, and that intrachoroidal cavitation is observed not only in eyes with pathologic myopia but also in normal eyes with peripapillary atrophy; intrachoroidal cavitation can cause macular detachment and retinoschisis.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology and National Hospital Organization, and Kyoto University Graduate School of Medicine, Kyoto, and Japan.

ABSTRACT

Purpose: To describe a patient with intrachoroidal cavitation in the normal eye that caused self-limiting recurrent macular detachment and retinoschisis.

Case report: An 80-year-old female patient with intrachoroidal cavitation in the normal eye presented with macular detachment and retinoschisis after cataract surgery. These were treated with intravitreal bevacizumab and then absorbed within 9 months. One year after cataract surgery, the patient presented with macular detachment and retinoschisis in the same eye again. These were absorbed within 4 months without treatment.

Conclusion: This case suggests that similar cases of cystoid macular edema after cataract surgery can occur, and that intrachoroidal cavitation is observed not only in eyes with pathologic myopia but also in normal eyes with peripapillary atrophy; intrachoroidal cavitation can cause macular detachment and retinoschisis.

No MeSH data available.


Related in: MedlinePlus

a RTVue-OCT on the right eye shows macular detachment and cystic spaces. A lamellar hole between the subretinal space and retinoschisis is observed. b RTVue-OCT on the left eye shows normal configuration of the macular area. c Fluorescent angiography at 1 min 32 s does not show hot spots. d Fluorescent angiography at 8 min 26 s shows only minimum pooling in cystic spaces.
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Figure 1: a RTVue-OCT on the right eye shows macular detachment and cystic spaces. A lamellar hole between the subretinal space and retinoschisis is observed. b RTVue-OCT on the left eye shows normal configuration of the macular area. c Fluorescent angiography at 1 min 32 s does not show hot spots. d Fluorescent angiography at 8 min 26 s shows only minimum pooling in cystic spaces.

Mentions: An 80-year-old woman presented with visual loss in her right eye to the Sensho-kai Eye Institute. Her best-corrected visual acuity measured 20/100 OD and 20/16 OS. In the right eye, a grade 2 nuclear cataract based on the Emery scale was observed with an axial length of 23.80 mm and a refractive error of − 1.0 diopters. The intraocular pressure measured 15 mm Hg OD and 14 mm Hg OS. No significant changes were observed in other parts of her eyes except small temporal conus. Small incision cataract surgery was performed with no complications. One week after surgery, her visual acuity decreased to 20/200. Macular serous detachment and cysts were observed using RTVue-100 Fourier-domain optical coherence tomography (RTVue-OCT; Optovue Inc., Fremont, Calif., USA) (fig. 1a). The left eye showed normal configuration (fig. 1b). Although RTVue-OCT showed prominent serous detachment and cysts, fluorescent angiography showed slight pooling in the cystic space and no robust leakage comparable to configuration obtained by RTVue-OCT (fig. 1c, d). The eye was treated as cystoid macular edema with intravitreal bevacizumab (1.25 mg) 2 months after surgery. The existing serous detachment slightly decreased and visual acuity improved to 20/50. Five months after surgery, intravitreal bevacizumab (1.25 mg) was applied again. Nine months after surgery, macular detachment and retinoschisis were almost absorbed. Her visual acuity had also improved to 20/25.


Recurrent macular detachment and retinoschisis associated with intrachoroidal cavitation in a normal eye.

Akimoto M, Akagi T, Okazaki K, Chihara E - Case Rep Ophthalmol (2012)

a RTVue-OCT on the right eye shows macular detachment and cystic spaces. A lamellar hole between the subretinal space and retinoschisis is observed. b RTVue-OCT on the left eye shows normal configuration of the macular area. c Fluorescent angiography at 1 min 32 s does not show hot spots. d Fluorescent angiography at 8 min 26 s shows only minimum pooling in cystic spaces.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC3369248&req=5

Figure 1: a RTVue-OCT on the right eye shows macular detachment and cystic spaces. A lamellar hole between the subretinal space and retinoschisis is observed. b RTVue-OCT on the left eye shows normal configuration of the macular area. c Fluorescent angiography at 1 min 32 s does not show hot spots. d Fluorescent angiography at 8 min 26 s shows only minimum pooling in cystic spaces.
Mentions: An 80-year-old woman presented with visual loss in her right eye to the Sensho-kai Eye Institute. Her best-corrected visual acuity measured 20/100 OD and 20/16 OS. In the right eye, a grade 2 nuclear cataract based on the Emery scale was observed with an axial length of 23.80 mm and a refractive error of − 1.0 diopters. The intraocular pressure measured 15 mm Hg OD and 14 mm Hg OS. No significant changes were observed in other parts of her eyes except small temporal conus. Small incision cataract surgery was performed with no complications. One week after surgery, her visual acuity decreased to 20/200. Macular serous detachment and cysts were observed using RTVue-100 Fourier-domain optical coherence tomography (RTVue-OCT; Optovue Inc., Fremont, Calif., USA) (fig. 1a). The left eye showed normal configuration (fig. 1b). Although RTVue-OCT showed prominent serous detachment and cysts, fluorescent angiography showed slight pooling in the cystic space and no robust leakage comparable to configuration obtained by RTVue-OCT (fig. 1c, d). The eye was treated as cystoid macular edema with intravitreal bevacizumab (1.25 mg) 2 months after surgery. The existing serous detachment slightly decreased and visual acuity improved to 20/50. Five months after surgery, intravitreal bevacizumab (1.25 mg) was applied again. Nine months after surgery, macular detachment and retinoschisis were almost absorbed. Her visual acuity had also improved to 20/25.

Bottom Line: These were treated with intravitreal bevacizumab and then absorbed within 9 months.These were absorbed within 4 months without treatment.This case suggests that similar cases of cystoid macular edema after cataract surgery can occur, and that intrachoroidal cavitation is observed not only in eyes with pathologic myopia but also in normal eyes with peripapillary atrophy; intrachoroidal cavitation can cause macular detachment and retinoschisis.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology and National Hospital Organization, and Kyoto University Graduate School of Medicine, Kyoto, and Japan.

ABSTRACT

Purpose: To describe a patient with intrachoroidal cavitation in the normal eye that caused self-limiting recurrent macular detachment and retinoschisis.

Case report: An 80-year-old female patient with intrachoroidal cavitation in the normal eye presented with macular detachment and retinoschisis after cataract surgery. These were treated with intravitreal bevacizumab and then absorbed within 9 months. One year after cataract surgery, the patient presented with macular detachment and retinoschisis in the same eye again. These were absorbed within 4 months without treatment.

Conclusion: This case suggests that similar cases of cystoid macular edema after cataract surgery can occur, and that intrachoroidal cavitation is observed not only in eyes with pathologic myopia but also in normal eyes with peripapillary atrophy; intrachoroidal cavitation can cause macular detachment and retinoschisis.

No MeSH data available.


Related in: MedlinePlus