J Korean Ophthalmol Soc.  2008 May;49(5):840-844. 10.3341/jkos.2008.49.5.840.

A Case of Retinal Detachment Surgery in Albinism Patient

• Yang JW
• Lee SJ
• Kang SB
• Park YH

• KMID: 2211717
• DOI: http://doi.org/10.3341/jkos.2008.49.5.840

Abstract

PURPOSE: To report a case of retinal detachment surgery in a patient with oculocutaneous albinism.
CASE SUMMARY
A 44-year-old man visited our clinic complaining of decreased visual acuity in his left eye. His best corrected visual acuity was hand movement in his left eye, and rhegmatogenous retinal detachment involving the macula at the superior temporal site was found. We performed pars plana vitrectomy and attempted to reattach the retina using endolaser photocoagulation; however, the laser burn was not made, and we failed to reattach the retina. At that point, we carried out cryopexy around the retinal tear, and injected silicone oil into the vitreous cavity. Ten months after surgery, his best corrected visual acuity was 0.06, and there was no recurrent retinal detachment or proliferative vitreoretinopathy.
CONCLUSIONS
In patients with albinism with melanin deficiency, cryopexy is more useful than laser photocoagulation for retinal detachment surgery.

Keyword

Albinism; Cryopexy; Retinal detachment

MeSH Terms

Adult
Albinism
Albinism, Oculocutaneous
Burns
Eye
Hand
Humans
Light Coagulation
Melanins
Retina
Retinal Detachment
Retinal Perforations
Retinaldehyde
Silicone Oils
Visual Acuity
Vitrectomy
Vitreoretinopathy, Proliferative
Melanins
Retinaldehyde
Silicone Oils

Figure

• 

  Figure 1. A 44-year-old man with oculocutaneous albinism. (A) The photogram of the right eye shows hypopigmented skin, eyelash, and iris. Note the visible intraocular IOL optic and haptics through the hypopigmented iris. (B) Fluorescein angiogram shows early faded-out dye in the retinal vessels and visible choroidal vessels through the window-defect. (C) B-scan sonogram of the left eye showed bullous retinal detachment. (D) Light microcopy from the skin at the trunk shows generalized absence of melanin pigment (HE stain, ×200).

• 

  Figure 2. The composite fundus photograms of a 44-year-old man with oculocutaneous albinism. (A) The fundus photograph of the right eye shows hypoplastic fovea and visible choroidal vasculature. (B) The fundus photograph of the left eye 6 months after retinal detachement operation shows well attached retina.

Reference

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