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Case Reports
. 2021 Jun 2;14(6):e241354.
doi: 10.1136/bcr-2020-241354.

Rhegmatogenous retinal detachment with giant retinal tear in a child with Marfan's syndrome: a rare ocular emergency

Parrina Sehgal  1 , Subina Narang  2 , Deepak Chandra  1
Affiliations
Case Reports

Rhegmatogenous retinal detachment with giant retinal tear in a child with Marfan's syndrome: a rare ocular emergency

Parrina Sehgal et al. BMJ Case Rep. .

Abstract

A 7-year-old boy with Marfanoid habitus presented with sudden and painless decrease in the vision of the right eye. Ocular examination revealed rhegmatogenous retinal detachment with 360° giant retinal tear in the right eye and small peripheral retinal breaks with lattice degeneration in the left eye. The patient underwent a 23-gauge pars plana vitrectomy with scleral buckling in the right eye and laser around the breaks in the left eye. At 1-week follow-up visit, the child presented with similar complaints in the left eye as were seen in the right eye. This was later managed effectively with 23-gauge pars plana vitrectomy only. So, with our case report, we would like to highlight the need for aggressive screening in children who are diagnosed with Marfan's syndrome and the need for prophylactic treatment in the unaffected eye.

Keywords: congenital disorders; ophthalmology; retina.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
(A) On diffuse light microscope examination white membrane like structure could be seen just behind the lens in OD. (B) Intraoperative image of OD showing crumpled retina with large area of bare choroid obscuring the view of optic disc. OD, right eye.
Figure 2
Figure 2
(A) Both hands showing thin, long, slender digits. (B) Image showing genu valgum deformity. (C) Image showing pectus carinatum deformity.
Figure 3
Figure 3
(A, B) Postoperative image showing clear central visual axis and well attached retina with visible endolaser marks.
Figure 4
Figure 4
Intraoperative image of OS showing crumpled retina with bare choroid similar to od presentation. OS, left eye.
See this image and copyright information in PMC

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References

    1. Mehdizadeh M, Afarid M, Haqiqi MS. Risk factors for giant retinal tears. J Ophthalmic Vis Res 2010;5:246–9. - PMC - PubMed
    1. von Kodolitsch Y, Robinson PN. Marfan syndrome: an update of genetics, medical and surgical management. Heart 2007;93:755–60. 10.1136/hrt.2006.098798 - DOI - PMC - PubMed
    1. Al Kaissi A, Zwettler E, Ganger R, et al. . Musculo-skeletal abnormalities in patients with Marfan syndrome. Clin Med Insights Arthritis Musculoskelet Disord 2013;6:CMAMD.S10279–9. 10.4137/CMAMD.S10279 - DOI - PMC - PubMed
    1. Nemet AY, Assia EI, Apple DJ, et al. . Current concepts of ocular manifestations in Marfan syndrome. Surv Ophthalmol 2006;51:561–75. 10.1016/j.survophthal.2006.08.008 - DOI - PubMed
    1. Weinberg DV, Lyon AT, Greenwald MJ, et al. . Rhegmatogenous retinal detachments in children. Ophthalmology 2003;110:1708–13. 10.1016/S0161-6420(03)00569-4 - DOI - PubMed

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