Unusual presentation of residual subretinal fluid composition after surgery for acute rhegmatogenous retinal detachment

Saba Al Rashaed Vitreoretinal Division, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia Abstract: The purpose of this paper is to report an unusual case of accumulation of residual subretinal fluid after surgery for acute rhegmatogenous retinal detachment, sparing the fovea. A 28-year-old...

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Autor principal:	Al Rashaed S
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2013
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/5c911535c14746a8acf98a47b5c4ad2a
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spelling	oai:doaj.org-article:5c911535c14746a8acf98a47b5c4ad2a2021-12-02T04:22:46ZUnusual presentation of residual subretinal fluid composition after surgery for acute rhegmatogenous retinal detachment1177-54671177-5483https://doaj.org/article/5c911535c14746a8acf98a47b5c4ad2a2013-06-01T00:00:00Zhttp://www.dovepress.com/unusual-presentation-of-residual-subretinal-fluid-composition-after-su-a13256https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Saba Al Rashaed Vitreoretinal Division, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia Abstract: The purpose of this paper is to report an unusual case of accumulation of residual subretinal fluid after surgery for acute rhegmatogenous retinal detachment, sparing the fovea. A 28-year-old male presented with a four-day history of acute visual loss in his right eye secondary to bulbous rhegmatogenous retinal detachment, sparing the fovea. The patient underwent an uneventful pars plana vitrectomy and scleral buckling procedure. At four weeks postoperatively (after complete gas resorption), the visual acuity was 20/40. However, the patient complained of blurred vision. A dilated fundus examination showed a flat retina and the presence of multiple yellowish subretinal deposits resembling vitelliform lesions in the macula. Some lesions were encroaching on the fovea, and were connected via a tract to a previous horseshoe tear with evidence of a thin layer of subretinal fluid. The patient symptoms persisted for one year postoperatively. However, the retina remained flat with evidence of retinal pigment epithelium mottling and faint scars corresponding to previous lesions. Persistent subretinal fluid with thick subretinal precipitate can occur even after successful surgery for acute retinal detachment sparing the fovea and cause visual dysfunction. Keywords: rhegmatogenous retinal detachment, subretinal fluid composition, persistent subretinal fluid, visual dysfunctionAl Rashaed SDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2013, Iss default, Pp 1069-1072 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Al Rashaed S Unusual presentation of residual subretinal fluid composition after surgery for acute rhegmatogenous retinal detachment
description	Saba Al Rashaed Vitreoretinal Division, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia Abstract: The purpose of this paper is to report an unusual case of accumulation of residual subretinal fluid after surgery for acute rhegmatogenous retinal detachment, sparing the fovea. A 28-year-old male presented with a four-day history of acute visual loss in his right eye secondary to bulbous rhegmatogenous retinal detachment, sparing the fovea. The patient underwent an uneventful pars plana vitrectomy and scleral buckling procedure. At four weeks postoperatively (after complete gas resorption), the visual acuity was 20/40. However, the patient complained of blurred vision. A dilated fundus examination showed a flat retina and the presence of multiple yellowish subretinal deposits resembling vitelliform lesions in the macula. Some lesions were encroaching on the fovea, and were connected via a tract to a previous horseshoe tear with evidence of a thin layer of subretinal fluid. The patient symptoms persisted for one year postoperatively. However, the retina remained flat with evidence of retinal pigment epithelium mottling and faint scars corresponding to previous lesions. Persistent subretinal fluid with thick subretinal precipitate can occur even after successful surgery for acute retinal detachment sparing the fovea and cause visual dysfunction. Keywords: rhegmatogenous retinal detachment, subretinal fluid composition, persistent subretinal fluid, visual dysfunction
format	article
author	Al Rashaed S
author_facet	Al Rashaed S
author_sort	Al Rashaed S
title	Unusual presentation of residual subretinal fluid composition after surgery for acute rhegmatogenous retinal detachment
title_short	Unusual presentation of residual subretinal fluid composition after surgery for acute rhegmatogenous retinal detachment
title_full	Unusual presentation of residual subretinal fluid composition after surgery for acute rhegmatogenous retinal detachment
title_fullStr	Unusual presentation of residual subretinal fluid composition after surgery for acute rhegmatogenous retinal detachment
title_full_unstemmed	Unusual presentation of residual subretinal fluid composition after surgery for acute rhegmatogenous retinal detachment
title_sort	unusual presentation of residual subretinal fluid composition after surgery for acute rhegmatogenous retinal detachment
publisher	Dove Medical Press
publishDate	2013
url	https://doaj.org/article/5c911535c14746a8acf98a47b5c4ad2a
work_keys_str_mv	AT alrashaeds unusualpresentationofresidualsubretinalfluidcompositionaftersurgeryforacuterhegmatogenousretinaldetachment
_version_	1718401246731173888

Unusual presentation of residual subretinal fluid composition after surgery for acute rhegmatogenous retinal detachment

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