Total exudative retinal detachment in a child with pars planitis- a challenging case with optimistic results.

Autor: Navarrete A; Department of Ophthalmology, Hadassah Medical Center, Jerusalem, Israel. ananav@hadassah.org.il., Jaouni T; Department of Ophthalmology, Hadassah Medical Center, Jerusalem, Israel., Amer R; Department of Ophthalmology, Hadassah Medical Center, Jerusalem, Israel.
Jazyk: angličtina
Zdroj: Journal of ophthalmic inflammation and infection [J Ophthalmic Inflamm Infect] 2023 Feb 27; Vol. 13 (1), pp. 6. Date of Electronic Publication: 2023 Feb 27.
DOI: 10.1186/s12348-023-00328-3
Abstrakt: We describe a case report of pediatric pars planitis complicated with massive exudative retinal detachment (ERD). A 7-year-old presented with visual acuity (VA) in the right eye (RE) of 6/9 and in the left eye (LE) 6/15. Fundoscopy revealed BE inferior retinoschisis, vitritis and snowballs. He was treated with systemic immunosuppressants. RE retinoschisis resolved within 2 months. Three years later presented with LE VA 6/60 and total ERD. Systemic and intravitreal steroids were administered. Due to refractoriness, he underwent 360° scleral buckle and drainage of subretinal fluid. No retinal breaks or traction were detected. Five months postoperatively LE VA was 6/7.5. Long-term stable outcome was maintained. We report a challenging total ERD as a complication of pars planitis. Although extensive and non-responsive to medical therapy, complete resolution and improvement in vision was achieved with surgical intervention and systemic immunosuppression. We speculate that uncontrolled chronic vasculitic process culminated in diffuse ERD.
(© 2023. The Author(s).)
Databáze: MEDLINE
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