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A Case of Intraocular Erosion and Intrusion by an Arruga Suture.

Kitagaki T, Morishita S, Kohmoto R, Fukumoto M, Suzuki H, Sato T, Kobayashi T, Kida T, Nakajima M, Ikeda T - Case Rep Ophthalmol (2016)

Bottom Line: Upon examination, iritis was observed in the anterior portion of his left eye, as well as a great number of pigment cell keratoprecipitates on the posterior surface of the cornea.In the ocular fundus, extensive atrophy of the retinal pigment epithelium and partial hyperpigmentation was observed, accompanied by subretinal strands, yet the retina remained attached.To treat the iritis in the patient's left eye, we began to administrate low-concentration steroid eye drops, after which the inflammation disappeared.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, Osaka Medical College, Takatsuki, Japan.

ABSTRACT

Purpose: To report a case of intraocular erosion and intrusion by an Arruga suture.

Case report: This study involved a 62-year-old male who had undergone scleral buckling surgery 40 or more years ago at another hospital for rhegmatogenous retinal detachment, as well as trabeculectomy 20 years ago for primary open-angle glaucoma, in his left eye at the same hospital. However, he recently became aware of blurred vision in that eye. Upon examination, iritis was observed in the anterior portion of his left eye, as well as a great number of pigment cell keratoprecipitates on the posterior surface of the cornea. In the ocular fundus, extensive atrophy of the retinal pigment epithelium and partial hyperpigmentation was observed, accompanied by subretinal strands, yet the retina remained attached. Around the entire peripheral area of the retina we observed a ring-shaped protrusion, but we also saw a shiny, filamentous material in the vitreous cavity that penetrated the sclera and choroid, completely extending from the 4- to 8-o'clock position of the scleral buckle protrusion. To treat the iritis in the patient's left eye, we began to administrate low-concentration steroid eye drops, after which the inflammation disappeared.

Conclusion: In this study, we experienced a case of intraocular erosion and intrusion by an Arruga suture, and opted to treat the patient with steroid eye drops and conservative follow-up observations unless retinal redetachment and/or vitreous hemorrhage occurs.

No MeSH data available.


Related in: MedlinePlus

B-mode ultrasound scan of the patient's left eye. A high-luminance image on the edge of the buckle protrusion with an acoustic shadow can be seen.
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Figure 3: B-mode ultrasound scan of the patient's left eye. A high-luminance image on the edge of the buckle protrusion with an acoustic shadow can be seen.

Mentions: Upon examination, his visual acuity was 1.0 × S-3.5D C-1.5D A × 30° OD and 0.5p × S + 2.0D C-2.25D A × 160° OS, and his intraocular pressure was 20 mm Hg OD and 11 mm Hg OS. Iritis was observed in the anterior chamber of the left eye, as well as a great number of pigment cell keratoprecipitates on the posterior surface of the cornea (fig. 1). Minor cataracts were observed beneath the posterior capsule, and mydriasis was somewhat poor. In the ocular fundus of the left eye, extensive atrophy of the retinal pigment epithelium and partial hyperpigmentation were observed, accompanied by subretinal strands, yet the retina remained reattached. Around the entire peripheral area of the retina we observed a high, ring-shaped protrusion, but we also saw a shiny, filamentous material in the vitreous cavity that penetrated the sclera and choroid, completely extending from the 4- to 8-o'clock position of the protrusion (fig. 2). During a B-mode ultrasound scan, we observed a high-luminance image on the edge of the buckle protrusion with an acoustic shadow (fig. 3). We also observed slight opacity and inflammatory cells in the vitreous cavity. Thus, we diagnosed this patient as a case of intraocular erosion and intrusion by an Arruga suture, and for the iritis in the left eye we began to administrate low-concentration steroid eye drops, after which the inflammation disappeared. A previous doctor had performed a trabeculectomy on the left eye 20 years previously to treat primary open-angle glaucoma, and we recognized a filtration bleb in the upper part of the corneal limbus, but we saw no particular abnormalities in the middle optic media or fundus in the right eye.


A Case of Intraocular Erosion and Intrusion by an Arruga Suture.

Kitagaki T, Morishita S, Kohmoto R, Fukumoto M, Suzuki H, Sato T, Kobayashi T, Kida T, Nakajima M, Ikeda T - Case Rep Ophthalmol (2016)

B-mode ultrasound scan of the patient's left eye. A high-luminance image on the edge of the buckle protrusion with an acoustic shadow can be seen.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4836125&req=5

Figure 3: B-mode ultrasound scan of the patient's left eye. A high-luminance image on the edge of the buckle protrusion with an acoustic shadow can be seen.
Mentions: Upon examination, his visual acuity was 1.0 × S-3.5D C-1.5D A × 30° OD and 0.5p × S + 2.0D C-2.25D A × 160° OS, and his intraocular pressure was 20 mm Hg OD and 11 mm Hg OS. Iritis was observed in the anterior chamber of the left eye, as well as a great number of pigment cell keratoprecipitates on the posterior surface of the cornea (fig. 1). Minor cataracts were observed beneath the posterior capsule, and mydriasis was somewhat poor. In the ocular fundus of the left eye, extensive atrophy of the retinal pigment epithelium and partial hyperpigmentation were observed, accompanied by subretinal strands, yet the retina remained reattached. Around the entire peripheral area of the retina we observed a high, ring-shaped protrusion, but we also saw a shiny, filamentous material in the vitreous cavity that penetrated the sclera and choroid, completely extending from the 4- to 8-o'clock position of the protrusion (fig. 2). During a B-mode ultrasound scan, we observed a high-luminance image on the edge of the buckle protrusion with an acoustic shadow (fig. 3). We also observed slight opacity and inflammatory cells in the vitreous cavity. Thus, we diagnosed this patient as a case of intraocular erosion and intrusion by an Arruga suture, and for the iritis in the left eye we began to administrate low-concentration steroid eye drops, after which the inflammation disappeared. A previous doctor had performed a trabeculectomy on the left eye 20 years previously to treat primary open-angle glaucoma, and we recognized a filtration bleb in the upper part of the corneal limbus, but we saw no particular abnormalities in the middle optic media or fundus in the right eye.

Bottom Line: Upon examination, iritis was observed in the anterior portion of his left eye, as well as a great number of pigment cell keratoprecipitates on the posterior surface of the cornea.In the ocular fundus, extensive atrophy of the retinal pigment epithelium and partial hyperpigmentation was observed, accompanied by subretinal strands, yet the retina remained attached.To treat the iritis in the patient's left eye, we began to administrate low-concentration steroid eye drops, after which the inflammation disappeared.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, Osaka Medical College, Takatsuki, Japan.

ABSTRACT

Purpose: To report a case of intraocular erosion and intrusion by an Arruga suture.

Case report: This study involved a 62-year-old male who had undergone scleral buckling surgery 40 or more years ago at another hospital for rhegmatogenous retinal detachment, as well as trabeculectomy 20 years ago for primary open-angle glaucoma, in his left eye at the same hospital. However, he recently became aware of blurred vision in that eye. Upon examination, iritis was observed in the anterior portion of his left eye, as well as a great number of pigment cell keratoprecipitates on the posterior surface of the cornea. In the ocular fundus, extensive atrophy of the retinal pigment epithelium and partial hyperpigmentation was observed, accompanied by subretinal strands, yet the retina remained attached. Around the entire peripheral area of the retina we observed a ring-shaped protrusion, but we also saw a shiny, filamentous material in the vitreous cavity that penetrated the sclera and choroid, completely extending from the 4- to 8-o'clock position of the scleral buckle protrusion. To treat the iritis in the patient's left eye, we began to administrate low-concentration steroid eye drops, after which the inflammation disappeared.

Conclusion: In this study, we experienced a case of intraocular erosion and intrusion by an Arruga suture, and opted to treat the patient with steroid eye drops and conservative follow-up observations unless retinal redetachment and/or vitreous hemorrhage occurs.

No MeSH data available.


Related in: MedlinePlus