Video Presentation

Management of proliferative sickle cell retinopathy

Video Details

First Author: N.Pinto Ferreira PORTUGAL

Co Author(s):    J. Pinto   D. Sousa   M. Faria                       

Abstract Details



Purpose:

The development of proliferative sickle cell retinopathy is usually insidious, and patients remain asymptomatic unless complications such as vitreous hemorrhage or retinal detachment occur. The purpose of this video is to show some of the intraoperative features of this disease and a step-wise surgical approach for proliferative sickle cell retinopathy.

Setting:

Hospital Santa Maria, Lisbon

Methods:

Case report of a 37-year-old male with SS-hemoglobin C (SC) disease and bilateral proliferative sickle cell retinopathy complicated with decrease of vision of his left eye due to a vitreous hemorrhage. A 23-gauge pars plana vitrectomy was performed. Intraoperative findings as active bleeding from neovessels, a small peripheral tractional retinal detachment and a macular epiretinal membrane had to be addressed at the same procedure.

Results:

Three months after the surgery left eye best corrected visual acuity is 20/20 on Snellen Scale with no active neovessels on fundus examination.

Conclusions:

Surgical management of proliferative sickle cell retinopathy is complex and challenging. In this video we address some of the specific features associated with sickle cell retinopathy and its surgical management.

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