J Korean Ophthalmol Soc.  2017 Jan;58(1):98-105. 10.3341/jkos.2017.58.1.98.

Two Cases of Serous Retinal Detachment Following Vitrectomy in Patients with Proliferative Diabetic Retinopathy

• Lee JH
• Kim SK
• Han SB
• Lee SJ
• Kim MS

• KMID: 2367850
• DOI: http://doi.org/10.3341/jkos.2017.58.1.98

Abstract

PURPOSE
In the present study, 2 cases of serous retinal detachment in patients diagnosed with proliferative diabetic retinopathy after pars plana vitrectomy are reported.
CASE SUMMARY
(Case 1) A 38-year-old female diagnosed with high-risk proliferative diabetic retinopathy underwent pars plana vitrectomy and cataract surgery due to intravitreal hemorrhage. One day after the operation, fundus photograph and optical coherence tomography (OCT) revealed serous retinal detachment. After ensuring that no retinal hole was present based on fundus examination, the patient was diagnosed with serous retinal detachment and antimicrobial and steroid eye drops were applied. After 1 week, subretinal fluid disappeared. (Case 2) A 63-year-old male diagnosed with proliferative diabetic retinopathy underwent pars plana vitrectomy due to right vitreous hemorrhage. On postoperative day 1, focal subretinal fluid under the macula was observed using OCT. Intravitreal triamcinolone injection was performed during surgery and steroid eye drops were applied. Subretinal fluid collection was absorbed 5 days postoperatively.
CONCLUSIONS
Two cases of serous retinal detachment that occurred postoperatively in patients with diabetic retinopathy are reported. Serous retinal detachment was resolved after several days without specific management.

Keyword

Endolaer photocoagulation; Proliferative diabetic retinopathy; Serous retinal detachment; Vitrectomy

MeSH Terms

Adult
Cataract
Diabetic Retinopathy*
Female
Hemorrhage
Humans
Male
Middle Aged
Ophthalmic Solutions
Retinal Detachment*
Retinal Perforations
Retinaldehyde*
Subretinal Fluid
Tomography, Optical Coherence
Triamcinolone
Vitrectomy*
Vitreous Hemorrhage
Ophthalmic Solutions
Retinaldehyde
Triamcinolone

Figure

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  Figure 1. Pre-operative fundus photograph, fluorescein angiography (FAG) and optical coherenece tomography (OCT) of case 1. (A) The fundus photograph shows hazy view due to vitreous hemorrhage. (B) The FAG three months before surgery shows micro-aneurysm, new vessels elsewhere and leaking of fluorescein dye. (C) The OCT shows no serous retinal detachment.

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  Figure 2. Post-operative fundus photograph and optical coherence tomography (OCT) of case 1. (A, B) Fundus photograph, OCT one day after vitrectomy showing serous retinal detachment. (C, D) Fundus photograph, OCT 1 month after vitrectomy.

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  Figure 3. Pre-operative fundus photograph, fluorescein angiography (FAG) and optical coherenece tomography (OCT) of case 2. (A) The fundus photograph shows vitreous hemorrhage. (B) The FAG five months before surgery shows microaneurysm and leaking of fluorescein dye. (C) The OCT shows no serous retinal detachment.

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  Figure 4. Post-operative fundus photograph and optical coherence tomography (OCT) of case 2. (A, B) Fundus photograph, OCT one day after vitrectomy showing serous retinal detachment. (C, D) Fundus photograph, OCT 1 week after vitrectomy.

Reference

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