Exudative retinal detachment following cataract surgery in Hallermann-Streiff syndrome.

Abstract

PURPOSE:

To report two cases of Hallermann-Streiff syndrome with exudative retinal detachment after cataract surgery.

METHODS:

Case report.

RESULTS:

Four eyes of two patients with Hallermann-Streiff syndrome developed exudative retinal detachments after lensectomy and anterior vitrectomy at 2 and 4 months of age. Both patients had extreme microphthalmia. The exudative retinal detachment regressed spontaneously in three of the four eyes; however, one eye required subscleral sclerectomy. In one patient, the best-corrected visual acuity was 20/200 at 3 years of age; the other patient had good fixation and following behavior in each eye at 1 year of age.

CONCLUSIONS:

Early surgery to treat congenital cataracts in extremely microphthalmic eyes associated with the Hallermann-Streiff syndrome may induce exudative retinal detachment. However, the retinal detachments tend to regress and may not cause severe visual impairment.

• Authors: Sachiko Nishina, Yumi Suzuki, Noriyuki Azuma
• Journal: Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie (Graefes Arch Clin Exp Ophthalmol) Vol. 246 Issue 3 Pg. 453-5 (Mar 2008) ISSN: 0721-832X [Print] Germany
• PMID: 18193263 (Publication Type: Case Reports, Journal Article)

Topics

• Cataract (congenital)
• Cataract Extraction (adverse effects)
• Exudates and Transudates
• Female
• Hallermann's Syndrome (complications)
• Humans
• Infant
• Male
• Microphthalmos (complications)
• Remission, Spontaneous
• Retinal Detachment (diagnostic imaging, etiology, physiopathology)
• Ultrasonography
• Visual Acuity