Centeral Retinal Artery Occlusion after Viterctomy with Gas Tamponade for Retinal Detachment: A Case Report.
- Author:
Young Do YEO
1
;
Yu Cheol KIM
Author Information
1. Department of Ophthalmology, Keimyung University School of Medicine, Daegu, Korea. eyedr@dsmc.or.kr
- Publication Type:Case Report
- Keywords:
Central retinal arterial occlusion;
Gas tamponade;
Retinal detachment;
Vitrectomy
- MeSH:
Arterioles;
Atrophy;
Cataract;
Fingers;
Fluorescein Angiography;
Hand;
Humans;
Intraocular Pressure;
Keratectomy, Subepithelial, Laser-Assisted;
Light Coagulation;
Male;
Middle Aged;
Myopia;
Retina;
Retinal Artery Occlusion*;
Retinal Artery*;
Retinal Detachment*;
Retinaldehyde*;
Risk Factors;
Triamcinolone;
Visual Acuity;
Vitrectomy
- From:Keimyung Medical Journal
2014;33(1):78-82
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
To introduce a case of Centeral Retinal Artery Occlusion in Gas Tamponade State after Viterctomy for the treatment of Retinal Detachment. A 47-year-old male patient with histories of LASEK surgery 15 years ago and cataract surgery 8 years ago visited our clinic with complaints of sudden visual disturbance in his right eye. He was diagnosed as regmatgenous retinal detachment and underwent pars plana vitrectomy, endolaser photocoagulation, 14% C3F8 gas tamponade, and subtenon triamcinolone injection. After the surgery, the retina was well attached and the visual acuity was improved from finger count 30cm at post-operative day 1 to 0.08 after the 2 weeks of surgery. Intraocular pressure was maintained 20~25 mmHg by Brimonidine/timolol eye drop treatment. The best corrected visual acuity was reduced to hand motion at post-operative day 15. Retinal arteriol attenuation and pale optic disc with 1/3 gas filled vitreous cavity was identified at post-operative day 30. Post-operative 2 years, visual acuity was non light perception with severe narrowing of arteriole and diffuse retinal pigment epithelial atrophy; no retinal vascular flow was observed on fluorescein angiography. Gas tamponade state after viterctomy for the treatment of retinal detachment at high myopia may be risk factors of central retinal artery occlusion.
