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Case Reports
. 2022 Mar 1;16(2):149-152.
doi: 10.1097/ICB.0000000000000953.

REPAIR OF COMBINED TRACTION-RHEGMATOGENOUS RETINAL DETACHMENT AFTER CRYOABLATION OF A RETINAL CAPILLARY HEMANGIOBLASTOMA

Philip J DeSouza  1 , Craig M Greven
Affiliations
Case Reports

REPAIR OF COMBINED TRACTION-RHEGMATOGENOUS RETINAL DETACHMENT AFTER CRYOABLATION OF A RETINAL CAPILLARY HEMANGIOBLASTOMA

Philip J DeSouza et al. Retin Cases Brief Rep. .

Abstract

Purpose: To describe a case of surgical repair of a total, combined traction-rhegmatogenous, retinal detachment with proliferative vitreoretinopathy after cryoablation of a retinal capillary hemangioblastoma.

Methods: A case of a 47-year-old man presenting with a solitary, superotemporal retinal capillary hemangioblastoma in the right eye with serous retinal detachment and subfoveal fluid and exudates is reported. The hemangioblastoma was treated with cryoablation, but despite regression of the lesion, the patient developed a total combined traction-rhegmatogenous retinal detachment 6 weeks later. Vitrectomy, endolaser photocoagulation to tears adjacent to the original hemangioblastoma lesion, and silicone oil exchange was performed to repair the detachment.

Results: Eighteen months after initial repair, the patient had silicone oil removal and cataract extraction with lens implantation. Final visual acuity improved from counting fingers to 20/50 with total retinal reattachment and regression of the retinal capillary hemangioblastoma.

Conclusion: Although uncommon, combined traction-rhegmatogenous retinal detachment can occur after cryoablation of a retinal capillary hemangioblastoma.

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Conflict of interest statement

None of the authors has any financial/conflicting interests to disclose.

Figures

Fig. 1.
Fig. 1.
Color fundus photography of the right eye of the patient. A. Before any treatment. B. Two days after cryoablation of the RCH. C. Six weeks after treatment, the patient developed a total combined traction-rhegmatogenous RD with proliferative vitreoretinopathy. D. Two weeks after RD surgical repair, which included endolaser photocoagulation and silicone oil injection. E. Two years after surgical repair, after having had silicone oil removal and cataract extraction with lens implantation.
Fig. 2.
Fig. 2.
Enhanced depth imaging optical coherence topography of the right eye before any treatment of the RCH; a horizontal line scan centered at the fovea demonstrates subfoveal fluid and macular exudates contributing to decreased visual acuity.
See this image and copyright information in PMC

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