Four Cases of Rhegmatogenous Retinal Detachment That Recurred More than 10 Years after Initial Reattachment by Pars Plana Vitrectomy.

Abstract

PURPOSE:

The purpose of this report was to present our findings in 4 cases of rhegmatogenous retinal detachment (RRD) that recurred 10, 11, 12, and 17 years after a reattachment surgery by pars plana vitrectomy (PPV).

METHODS:

Four cases of a recurrent RRD had undergone scleral buckling surgery and vitrectomy.

PATIENTS:

The recurrence of the RRD was observed 10-17 years after the successful attachment by PPV. The macula was detached in all cases, and none of the eyes had severe proliferative vitreoretinopathy. The cause of the recurrence was a new retinal break in 3 eyes and a reopening of an old retinal break in the other eye. The new breaks had a punched-out shape and had neither a horseshoe tear nor an atrophic hole associated with lattice degeneration. PPV combined with scleral buckling was performed, and a reattachment was achieved in all cases. The best-corrected visual acuity (BCVA) at the last visit ranged from 20/30 to 20/25, but the BCVA in 1 eye was 20/200 because of amblyopia.

CONCLUSIONS:

We experienced 4 rare cases of a recurrent retinal detachment 10-17 years after the primary RRD. PPV and scleral buckling were effective and the anatomical and the functional outcomes were good.

• Authors: Takayuki Baba, Tomoaki Tatsumi, Toshiyuki Oshitari, Shuichi Yamamoto
• Journal: Case reports in ophthalmology (Case Rep Ophthalmol) 2021 Jan-Apr Vol. 12 Issue 1 Pg. 219-226 ISSN: 1663-2699 [Print] Switzerland
• PMID: 33976686 (Publication Type: Case Reports)
• Copyright: Copyright © 2021 by S. Karger AG, Basel.