Publication: Our Approach to Rhegmatogenous Retinal Detachment Associated with Choroidal Detachment
Abstract
Marmara Üniversitesi Göz Hastalıkları Anabilim Dalında 2013-2015 yılları arasında tedavi edilen simültane koroid dekolmanı tanısı bulunan ve evre C proliferatif vitreoretinopatili retina dekolmanı tanılı 3 olgunun tıbbi kayıtları geriye dönük olarak incelendi. Hastalara önce intravenöz pulse steroid, sonra idame oral steroid tedavisi uygulandı. Koroid dekolmanı yatışır yatışmaz, kombine çevresel skleral çöktürme ve pars plana vitrektomi ile 5500 centistokes silikon yağı infüzyonu yapıldı. Fakik olan iki hastaya aynı seansta fakoemülsifikasyonla katarakt ekstraksiyonu uygulanarak göz içi mercek implante edildi. Tüm olgularda anatomik başarı elde edildi. İki olguda 12 aylık takibin sonunda görme artışı sağlandı.
The medical records of 3 patients with simultaneous choroidal detachment and retinal detachment with grade C vitreoretinopathy, treated in Marmara University School of Medicine between the years 2013 and 2015, were retrospectively investigated. All 3 patients received pulse steroid followed by an oral maintenance dose of steroid treatment. Upon regression of choroidal detachment, the patients underwent a combined surgical procedure of encircling scleral buckling, pars plana vitrectomy and 5500 centistokes silicon oil infusion procedure. Two phakic patients underwent cataract extraction with phacoemulsification and intraocular lens implantation at the same session. Anatomic success was achieved in all cases. Visual gain was obtained in 2 patients after 12 months of follow-up.
The medical records of 3 patients with simultaneous choroidal detachment and retinal detachment with grade C vitreoretinopathy, treated in Marmara University School of Medicine between the years 2013 and 2015, were retrospectively investigated. All 3 patients received pulse steroid followed by an oral maintenance dose of steroid treatment. Upon regression of choroidal detachment, the patients underwent a combined surgical procedure of encircling scleral buckling, pars plana vitrectomy and 5500 centistokes silicon oil infusion procedure. Two phakic patients underwent cataract extraction with phacoemulsification and intraocular lens implantation at the same session. Anatomic success was achieved in all cases. Visual gain was obtained in 2 patients after 12 months of follow-up.