J Korean Ophthalmol Soc.  2015 Mar;56(3):466-470. 10.3341/jkos.2015.56.3.466.

Two Cases of Acute Spontaneous Resolution in Macula-Off Rhegmatogenous Retinal Detachment

• Park JY
• Shin MK
• Park SW
• Byon IS
• Lee JE

• KMID: 2339058
• DOI: http://doi.org/10.3341/jkos.2015.56.3.466

Abstract

PURPOSE
To report 2 cases of acute spontaneous resolution of rhegmatogenous retinal detachment (ASRRRD).
CASE SUMMARY
(Case 1) A 28-year-old male presented with acute visual loss in his left eye for 5 days. The best corrected visual acuity was 10/200 in the left eye and fovea-off retinal detachment with retinal break at the 11-o'clock location was observed. The retina was reattached after 5 days without any treatment. Prophylactic barrier photocoagulation was performed around the break and 3 months after ASRRRD visual acuity improved to 20/30. (Case 2) A 19-year-old male was referred with a history of blurry vision and visual disturbance in his right eye. He underwent a cataract surgery due to traumatic cataract in his right eye 3 years prior. The best corrected visual acuity was 10/200 in the right eye and fovea-off retinal detachment with retinal break at the 10:30-o'clock location was observed. The retina reattached spontaneously after 5 days. Prophylactic barrier photocoagulation was performed around the break and 3 months after ASRRRD visual acuity improved to 20/30.
CONCLUSIONS
It would be better to check the status of fundus and the visual acuity before the surgery in the cases of rhegmatogenous retinal detachment in young age.

Keyword

Rhegmatogenous retinal detachment; Sponataneous reattachment

MeSH Terms

Adult
Cataract
Humans
Light Coagulation
Male
Retina
Retinal Detachment*
Retinal Perforations
Visual Acuity
Young Adult

Figure

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  Figure 1. Case 1 patient. (A) Bullous rhegmatogenous retinal detachment is observed at the area inferior to the margin of retinal detachment (white arrow heads) and retinal break is located at 11 o’clock direction anterior to the equator (red dotted circle). (B, C) Macula-off retinal detachment is demonstrated by ultrasonograph and ocular computed tomography (OCT) images. (D) Acute spontaneous reattachment of rhegmatogenous retinal detachment (ASRRRD) after 5 days without any treatment. (E, F) ASRRRD and no definite posterior vitreous detachement are observed in ultrasonograph and OCT images. (G, H, I) Recurrence of rhegmatogenous retinal detachment with dispersive vitreous hemorrhage after blunt trauma was occurred and demonstrated by fundus photograph, ultrasonograph and OCT images. Margin of retinal detachment (white arrow heads) and location of new retinal tear (red dotted cir-cle) are indicated.

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  Figure 2. Case 2 patient. (A) Margin of retinal detachment (white arrow heads) and location of lattice degeneration with atrophic hole (red dotted circle) are indicated. (B, C) Macula-off retinal detachment is observed in ultrasonograph and ocular computed tomography (OCT) images. (D) Acute spontaneous reattachment of rhegmatogenous retinal detachment (ASRRRD) after 3 days without any treatment. Barrier photocoagulation (red dotted circle) was done right after reattachment. (E, F) ASRRRD and no definite posterior vitreous detachement are observed in ultrasonograph and OCT images.

Reference

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