Total exudative retinal detachment in a child with pars planitis- a challenging case with optimistic results

Journal of Ophthalmic Inflammation and Infection

Brief Report

Radgonde Amer¹  Tareq Jaouni¹  Ana Navarrete¹ 

[1]Department of Ophthalmology, Hadassah Medical Center, Jerusalem, Israel

关键词: Pars Planitis;    Exudative Retinal Detachment;    Uveitis;    Buckle;    Immunosuppressants;   

DOI  :  10.1186/s12348-023-00328-3

 received in 2022-07-13, accepted in 2023-01-21,  发布年份 2023

来源: Springer

【 摘 要 】

We describe a case report of pediatric pars planitis complicated with massive exudative retinal detachment (ERD). A 7-year-old presented with visual acuity (VA) in the right eye (RE) of 6/9 and in the left eye (LE) 6/15. Fundoscopy revealed BE inferior retinoschisis, vitritis and snowballs. He was treated with systemic immunosuppressants. RE retinoschisis resolved within 2 months. Three years later presented with LE VA 6/60 and total ERD. Systemic and intravitreal steroids were administered. Due to refractoriness, he underwent 360° scleral buckle and drainage of subretinal fluid. No retinal breaks or traction were detected. Five months postoperatively LE VA was 6/7.5. Long-term stable outcome was maintained. We report a challenging total ERD as a complication of pars planitis. Although extensive and non-responsive to medical therapy, complete resolution and improvement in vision was achieved with surgical intervention and systemic immunosuppression. We speculate that uncontrolled chronic vasculitic process culminated in diffuse ERD.

【 授权许可】

CC BY   
© The Author(s) 2023

【 图 表 】

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