First Author: J.Lemos PORTUGAL
Co Author(s): C. Teixeira C. Menezes J. Serino B. Vieira 0 0 0 0 0 0 0 0 0
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To describe a case of retinoschisis associated with rhegmatogenous retinal detachment (RD) and complicated by the presence of a retinal capillary hemangioma.
Department of Ophthalmology of Hospital Pedro Hispano, Matosinhos, Portugal.
The authors present the case of a 34 year-old woman, with high myopia, that was observed in our Emergency Room with a 3-month history of reduction of visual acuity in her right eye (RE) that underwent the following examinations: best-corrected visual acuity (BCVA), slit-lamp biomicroscopy and fundoscopy.
Patient presented with BCVA of 8/10 in RE and 10/10 in left eye (LE), RE posterior subcapsular cataract, a RE inferior rhegmatogenous RD with partial foveal involvement associated with 2 retinal breaks (RB) near a nasal inferior retinoschisis and a retinal capillary hemangioma. She was submitted to RE 360° scleral buckling, phacoemulsification, pars plana vitrectomy (PPV) with aspiration of subretinal fluid, cryotherapy, laser photocoagulation of the RB and hemangioma. However, 1 week after the surgery patient maintained RD with RB not reattached and she was submitted to scleral buckling revision. One week later, fundoscopy revealed retraction and fibrosis of retinal hemangioma that caused traction in the retina, with enlargement of RD. She was submitted to new PPV with subretinal fluid aspiration, inferior laser photocoagulation and revision of scleral buckling. With 1 year follow-up, patient remains with retina reattached and BCVA of 3/10 in RE.
This case highlights that retinoschisis-associated RD is a demanding situation to treat and remains a challenge for vitreoretinal surgeons and, in this case, association with a retinal hemangioma made the treatment particularly challenging.