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Case Reports
. 2020 Jul 28;11(2):385-390.
doi: 10.1159/000509157. eCollection 2020 May-Aug.

Nonperfused Peripheral Retinal Area in Eyes with Chronic Rhegmatogenous Retinal Detachment

Tomoaki Tatsumi  1 , Takayuki Baba  1 , Hirotaka Yokouchi  1 , Shuichi Yamamoto  1
Affiliations
Case Reports

Nonperfused Peripheral Retinal Area in Eyes with Chronic Rhegmatogenous Retinal Detachment

Tomoaki Tatsumi et al. Case Rep Ophthalmol. .

Abstract

We report two cases of chronic rhegmatogenous retinal detachment with a nonperfused peripheral retinal area. Case 1 was an 84-year-old woman who presented with a bullous retinal detachment of the inferior retina and a best-corrected visual acuity of 20/500. A small horseshoe tear was detected in the peripheral superior retina. Fluorescein angiography showed a wide area of nonperfused retina in the inferior retina. The retina was successfully reattached by scleral buckling surgery. Case 2 was a 40-year-old woman who presented with a shallow retinal detachment involving the macula. There were multiple retinal breaks at the pars plana that were secondary to blunt trauma. Fluorescein angiography revealed a wide area of nonperfused retina in the inferior peripheral retina. She underwent scleral buckling surgery, and the retina was successfully reattached. Our findings indicate that clinicians should examine the peripheral retina carefully especially with fluorescein angiography to search for nonperfused areas in eyes with chronic rhegmatogenous retinal detachment.

Keywords: Chronic detachment; Fluorescein angiography; Retinal nonperfusion; Rhegmatogenous retinal detachment; Scleral buckling.

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Conflict of interest statement

The following authors have no financial disclosures: T.T., H.Y. T.B.: personal fees from Bayer, personal fees from Kowa, personal fees from Santen, personal fees from Senju, personal fees from Alcon, grants and personal fees from Novartis, outside the submitted work. S.Y.: grants and personal fees from HOYA, grants and personal fees from Senju, grants and personal fees from Pfizer, grants and personal fees from Santen, grants and personal fees from Alcon Japan, grants and personal fees from Alcon Pharma, grants and personal fees from Bayer, grants and personal fees from Kowa, personal fees from Nikon, personal fees from Wakamoto, personal fees from Chuo Sangyo, personal fees from Daiichi Sankyo, personal fees from Jamex, personal fees from Sun Contact Lens, personal fees from Finedex, personal fees from Novartis, personal fees from Chugai, personal fees from Abbvie, outside the submitted work.

Figures

Fig. 1
Fig. 1
Ultra-widefield fundus photograph and fluorescein angiogram of case 1. a Preoperative fundus photograph of the left eye of an 84-year-old Japanese woman. An inferior bullous retinal detachment can be seen. b Fluorescein angiogram showing peripheral nonperfused retina at the inferior area (asterisk). No leakage from the retinal vessels can be seen. c The retina was attached after scleral buckling surgery. d The retinal nonperfused area is not clearly seen because of the atrophy of the pigment epithelium.
Fig. 2
Fig. 2
Ultra-widefield fundus photograph and fluorescein angiogram of case 2. a Preoperative retinal photograph of the left eye of a 40-year-old Japanese woman. Shallow retinal detachments can be seen in the four quadrants. b Fluorescein angiogram shows peripheral nonperfused retina in the inferior area (asterisk). Faint leakage from retinal vessels can be seen. c The retina was attached after the scleral buckling surgery. d The retinal nonperfused area remains nonperfused with mild leakage of the dye (asterisk).
See this image and copyright information in PMC

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