Nonperfused Peripheral Retinal Area in Eyes with Chronic Rhegmatogenous Retinal Detachment.

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.

• Authors: Tomoaki Tatsumi, Takayuki Baba, Hirotaka Yokouchi, Shuichi Yamamoto
• Journal: Case reports in ophthalmology (Case Rep Ophthalmol) 2020 May-Aug Vol. 11 Issue 2 Pg. 385-390 ISSN: 1663-2699 [Print] Switzerland
• PMID: 32884554 (Publication Type: Case Reports)
• Copyright: Copyright © 2020 by S. Karger AG, Basel.