Massive vitreous gel incarceration into the subretinal space following traumatic retinal detachment in a young patient: a case report

Takafumi Hirashima, Mihori Kita, Shin Yoshitake, Miou Hirose, Hideyasu OhDepartment of Ophthalmology, Hyogo Prefectural Amagasaki Hospital, Amagasaki, Hyogo, JapanPurpose: This paper reports a young patient with a traumatic rhegmatogenous retinal detachment and massive vitreous gel incarceration int...

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Autores principales:	Hirashima T, Kita M, Yoshitake S, Hirose M, Oh H.
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2011
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/c0a71a76f88349ab9d36a8c47831c630
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spelling	oai:doaj.org-article:c0a71a76f88349ab9d36a8c47831c6302021-12-02T02:12:04ZMassive vitreous gel incarceration into the subretinal space following traumatic retinal detachment in a young patient: a case report1177-54671177-5483https://doaj.org/article/c0a71a76f88349ab9d36a8c47831c6302011-10-01T00:00:00Zhttp://www.dovepress.com/massive-vitreous-gel-incarceration-into-the-subretinal-space-following-a8532https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Takafumi Hirashima, Mihori Kita, Shin Yoshitake, Miou Hirose, Hideyasu OhDepartment of Ophthalmology, Hyogo Prefectural Amagasaki Hospital, Amagasaki, Hyogo, JapanPurpose: This paper reports a young patient with a traumatic rhegmatogenous retinal detachment and massive vitreous gel incarceration into the subretinal space, who was successfully treated with 23-gauge transconjunctival vitrectomy.Case report: An 11-year-old boy was referred to the authors&rsquo; clinic with traumatic retinal detachment in the right eye, 2 weeks after ocular contusion in a baseball accident. At the time of the injury, emergency fundus examination by his local doctor had revealed vitreous hemorrhage in the inferior quadrant of the right eye. Visual acuity was 1.5. He had continued to play baseball as usual for 2 weeks after the injury. At his first visit to the authors&rsquo; clinic, fundus examination showed a highly bullous retinal detachment involving the inferior two quadrants, associated with multiple irregular retinal breaks. There was an oval hole in the inferior quadrant which was 10-disc diameter &times; 5-disc diameter in size and was surrounded by edematous and hemorrhagic retina. The macula remained attached. Absolute rest for 4 hours in the supine position with binocular occlusion did not diminish the height of the retinal detachment. A 23-gauge three-port pars plana vitrectomy combined with 360&deg; circumferential buckling was performed under general anesthesia. The lens was retained. Incarceration of massive vitreous gel, including vitreous hemorrhage into the subretinal space through the largest break, was observed during vitrectomy. Reattachment of the retina was achieved by fluid&ndash;air exchange and internal tamponade using SF6 gas. At follow-up at 9 months, the retina remained attached and visual acuity in the right eye was 1.2.Keywords: retinal detachment, trauma, contusion, vitrectomyHirashima TKita MYoshitake SHirose MOh H.Dove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2011, Iss default, Pp 1539-1541 (2011)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Hirashima T Kita M Yoshitake S Hirose M Oh H. Massive vitreous gel incarceration into the subretinal space following traumatic retinal detachment in a young patient: a case report
description	Takafumi Hirashima, Mihori Kita, Shin Yoshitake, Miou Hirose, Hideyasu OhDepartment of Ophthalmology, Hyogo Prefectural Amagasaki Hospital, Amagasaki, Hyogo, JapanPurpose: This paper reports a young patient with a traumatic rhegmatogenous retinal detachment and massive vitreous gel incarceration into the subretinal space, who was successfully treated with 23-gauge transconjunctival vitrectomy.Case report: An 11-year-old boy was referred to the authors&rsquo; clinic with traumatic retinal detachment in the right eye, 2 weeks after ocular contusion in a baseball accident. At the time of the injury, emergency fundus examination by his local doctor had revealed vitreous hemorrhage in the inferior quadrant of the right eye. Visual acuity was 1.5. He had continued to play baseball as usual for 2 weeks after the injury. At his first visit to the authors&rsquo; clinic, fundus examination showed a highly bullous retinal detachment involving the inferior two quadrants, associated with multiple irregular retinal breaks. There was an oval hole in the inferior quadrant which was 10-disc diameter &times; 5-disc diameter in size and was surrounded by edematous and hemorrhagic retina. The macula remained attached. Absolute rest for 4 hours in the supine position with binocular occlusion did not diminish the height of the retinal detachment. A 23-gauge three-port pars plana vitrectomy combined with 360&deg; circumferential buckling was performed under general anesthesia. The lens was retained. Incarceration of massive vitreous gel, including vitreous hemorrhage into the subretinal space through the largest break, was observed during vitrectomy. Reattachment of the retina was achieved by fluid&ndash;air exchange and internal tamponade using SF6 gas. At follow-up at 9 months, the retina remained attached and visual acuity in the right eye was 1.2.Keywords: retinal detachment, trauma, contusion, vitrectomy
format	article
author	Hirashima T Kita M Yoshitake S Hirose M Oh H.
author_facet	Hirashima T Kita M Yoshitake S Hirose M Oh H.
author_sort	Hirashima T
title	Massive vitreous gel incarceration into the subretinal space following traumatic retinal detachment in a young patient: a case report
title_short	Massive vitreous gel incarceration into the subretinal space following traumatic retinal detachment in a young patient: a case report
title_full	Massive vitreous gel incarceration into the subretinal space following traumatic retinal detachment in a young patient: a case report
title_fullStr	Massive vitreous gel incarceration into the subretinal space following traumatic retinal detachment in a young patient: a case report
title_full_unstemmed	Massive vitreous gel incarceration into the subretinal space following traumatic retinal detachment in a young patient: a case report
title_sort	massive vitreous gel incarceration into the subretinal space following traumatic retinal detachment in a young patient: a case report
publisher	Dove Medical Press
publishDate	2011
url	https://doaj.org/article/c0a71a76f88349ab9d36a8c47831c630
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Massive vitreous gel incarceration into the subretinal space following traumatic retinal detachment in a young patient: a case report

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