scholarly journals Two Cases of Mydriasis following Barrier Photocoagulation at the Peripheral Lattice Degeneration or Retinal Hole

2020 ◽  
Vol 61 (7) ◽  
pp. 823-827
Author(s):  
Bo Hyun Park ◽  
Soo Kyung Jang ◽  
Jong Soo Lee
Keyword(s):  
Lattice Degeneration ◽  
Retinal Hole

scholarly journals The Prevalence and Associations of Peripheral Retinopathy: Baseline Study of Guangzhou Office Computer Workers

2018 ◽  
Vol 2018 ◽  
pp. 1-6
Author(s):  
Ting Zhang ◽  
Yajing Zuo ◽  
Yantao Wei ◽  
Wenbin Huang ◽  
Xuezhi Zhou ◽  
...  
Keyword(s):  
Risk Factors ◽  
Significant Risk ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Computer Workers ◽  
Lattice Degeneration ◽  
Associated Risk Factors ◽  
Retinal Hole ◽  
Slit Lamp Microscopy ◽  
Chorioretinal Degeneration

Purpose. To determine the prevalence of peripheral retinopathy and its associated risk factors among a sample of Guangzhou office computer workers. Methods. A cross-sectional study of Guangzhou Chinese computer workstations and operators in different departments and units of the Guangzhou Power Supply Bureau, China, in 2016. Peripheral retinopathy was recorded and analyzed using a scanning laser ophthalmoscope (SLO; Optos, Daytona, United Kingdom) and slit-lamp microscopy combined with a three-mirror contact lens. Results. The 1934 eyes of 967 subjects (513 females and 454 males) were included in this study. In total, 79.1% of the eyes were myopic in workers aged 20–29 years, 72.9% in workers aged 30–39 years, 62.2% in workers aged 40–49 years, and 43.4% in workers aged 50–59 years (p<0.001). Most eyes had optic nerve crescents (81.3%). Various peripheral degenerations were found: 7 eyes (0.4%) had microcystoid degeneration, 40 (2.1%) had peripheral pigmentary degeneration, 87 (4.5%) had lattice degeneration, and 4 (0.2%) had snail-track degeneration. Nineteen (1.0%) eyes had paving-stone degeneration, 11 (0.6%) eyes had a retinal hole or tear, and 16 (0.8%) eyes had chorioretinal degeneration. Multivariate regression confirmed that greater axial length (OR: 1.18 (1.03, 1.35), p=0.012) and more serious spherical equivalent (OR: 0.82 (0.77, 0.88), p<0.001) were significant risk factors for peripheral retinal changes. Conclusion. Peripheral retinal degenerative changes were found in a larger proportion of younger computer workers than older ones. Myopia is occurring in younger and younger people, accompanied by peripheral retinal degeneration.

scholarly journals Iatrogenic Retinal Penetration from Intravitreal Injections

2021 ◽  
pp. 248-253
Author(s):  
Kamal Kishore ◽  
Daniel S. McGowan ◽  
Kurt A. Hanebrink
Keyword(s):  
Injection Site ◽  
Case Series ◽  
Vitreous Hemorrhage ◽  
Injection Technique ◽  
Round Hole ◽  
Neovascular Amd ◽  
Vein Occlusion ◽  
Lattice Degeneration ◽  
Retinal Hole ◽  
Central Retinal Vein

We present 2 cases of iatrogenic retinal penetration from intravitreal (IVT) injections in a retrospective noncomparative case series of 2 patients. The first patient, an 81-year-old Caucasian male, developed dense vitreous hemorrhage soon after receiving an IVT bevacizumab injection for macular edema from central retinal vein occlusion. A 25-g vitrectomy 1 week later showed a retinal hole surrounded by fresh hemorrhages in the same quadrant as the IVT injection. The second patient, an 87-years-old male, developed a retinal detachment after 28 injections of anti-VEGF medications for neovascular AMD. A peripheral round hole was observed during vitrectomy without any lattice degeneration in the same quadrant as prior IVT injections. Both eyes were pseudophakic, had normal axial lengths, and received injections without measuring the injection site. Retinal penetration from IVT injections can result in serious sight-threatening complications. Measuring the injection site from the limbus should be part of safe IVT injection technique.

Management of Scleral Rupture during Retinal Detachment Surgery: A Case Report

2002 ◽  
Vol 12 (6) ◽  
pp. 553-555 ◽  
Author(s):  
P. Carpineto ◽  
M. Ciancaglini ◽  
S. Scaramucci ◽  
M. Nubile ◽  
L. Mastropasqua
Keyword(s):  
Case Report ◽  
Retinal Detachment ◽  
Vitreous Hemorrhage ◽  
Positive Outcome ◽  
Favourable Outcome ◽  
Moderate Intensity ◽  
Scleral Buckle ◽  
Retinal Detachment Surgery ◽  
Patch Graft ◽  
Retinal Hole

Purpose Rupture of the sclera occurring during retinal detachment surgery is generally associated with unfavourable anatomic and visual outcomes. Re-operation after a failed scleral buckle procedure and pre-existing scleral thinning are considered the main risk factors for scleral rupture. Case Report We describe the management and the favourable outcome of a case of scleral rupture in a 71-year-old woman during re-operation for retinal detachment. Conclusions We managed this case of scleral rupture in accordance with current indications concerning the anatomical recovery, by scleral suture and patch graft, restoring IOP by gas tamponade. The positive outcome was partly related to the prompt closure of the retinal hole which led to reattachment, and partly to favourable events such as the moderate intensity of vitreous hemorrhage and the lack of any more serious intraoperative and postoperative complications.

Peripheral Retinal Degenerations with Risk of Rhegmatogenous Retinal Detachment and Management

2019 ◽  
pp. 142-146
Keyword(s):  
Retinal Detachment ◽  
Rhegmatogenous Retinal Detachment ◽  
Peripheral Retina ◽  
Retinal Degenerations ◽  
Lattice Degeneration

Retinal degenerations are common lesions involving the peripheral retina, and most of them are clinically insignificant. Lattice degeneration, cystic retinal tuft, zonular traction tuft, snail track degeneration, degenerative retinoschisis, white without pressure lesions can result in a rhegmatogenous retinal detachment. In this paper, we aimed to discuss peripheric retinal degenerations that predispose retinal detachment and the treatments for them.

Human amniotic membrane patch and platelet-rich plasma to promote retinal hole repair in a recurrent retinal detachment

2020 ◽  
pp. 112067212095331
Author(s):  
Federico Di Tizio ◽  
Irene Gattazzo ◽  
Federico Di Staso ◽  
Mariachiara Di Pippo ◽  
Fabio Guglielmelli ◽  
...  
Keyword(s):  
Retinal Detachment ◽  
Surgical Technique ◽  
Amniotic Membrane ◽  
Silicone Oil ◽  
Platelet Rich Plasma ◽  
High Viscosity ◽  
Pathologic Myopia ◽  
Human Amniotic Membrane ◽  
Silicon Oil ◽  
Retinal Hole

Purpose: To present a modified surgical technique, based on a combination of human amniotic membrane (hAM) patch and autologous Platelet-rich plasma (PRP) in a case of recurrent retinal detachment (RRD) due to a perivascular retinal hole over an area of staphyloma in an eye with pathologic myopia. Methods: Presenting the surgical technique with the disposal of surgical video. After performing 23-gauge pars plana vitrectomy (PPV) the hAM patch was inserted under the neuroretina through the perivascular hole and PRP was injected on top to speed up the closure of the hole. To complete the surgical procedure High Viscosity Silicon oil (5000cst) was used as tamponade. The patient was prescribed to maintain a face-down position for the first 3 days after the operation. Follow-up was evaluated through Optical coherence tomography (OCT) scans. Results: The 3 days postoperative OCT showed a flat retina with the filling of the myopic staphyloma. The hAM patch was well positioned and the retinal hole could not be identified. At 6 weeks from intervention, the site of the retinal hole at OCT scan was covered by new tissue. Silicone oil was removed 3 months later with no recurrence. Conclusion: hAM transplantation is a novel technique in case of retinal detachment recurrences to seal retinal holes over high myopic chorioretinal atrophy. The adjunctive use of PRP and high viscosity silicon oil allows to reducing the standard face-down positioning timing, representing a valid solution for elderly patients who have difficulties maintaining the position for long periods.

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