MyMedR

Bilateral Exudative Retinal Detachment in Septo-Optic Dysplasia

Addenan M, May CM

Indian Pediatr, 2017 12 15;54(12):1058-1059.

PMID: 29317570

Matched MeSH terms: Retinal Detachment*

Fulltext Images in clinical medicine. Retinal detachment in malignant hypertension

Tajunisah I, Patel DK

N Engl J Med, 2009 Aug 27;361(9):899.

PMID: 19710488 DOI: 10.1056/NEJMicm0802683

Matched MeSH terms: Retinal Detachment/etiology*; Retinal Detachment/pathology

Fulltext "Miotic-induced retinal detachment": a case report

Singh M

Med J Malaysia, 1985 Jun;40(2):136-8.

PMID: 3834285

A rare case of pilocarpine-induced retinal detachment occurring in the only useful myopic eye of a young Chinese woman is described. Problems of treating raised intraocular pressure in high-risk cases of retinal detachment are discussed.

Matched MeSH terms: Retinal Detachment/chemically induced*

Fulltext Retinal break adjacent to the optic disc causing retinal detachment in a pathological myopia

Noor Aniah, A., Bastion, M.L.C., Mushawiahti, M.

Journal of Surgical Academia, 2017;7(2):21-23.

MyJurnal

Retinal detachment is one of the common complications of pathological myopia due to presence of retinal break.
However, retinal break commonly occurs in the peripheral retina. This case report illustrates the rare incidence of
retinal break adjacent to the optic disc, highlights the possible causes of poor visual outcome following surgical
repair as well as the possible measures to treat the complications.

Matched MeSH terms: Retinal Detachment

Fulltext Hidden Choroidal Melanoma Presented with Bullous Non-rhegmatogenous Retinal Detachment in a Myopic Asian Lady: A Rare Manifestation

Ibrahim N, Sakinah Z, Abdul Ghani Z, Ibrahim M

Cureus, 2019 Mar 27;11(3):e4335.

PMID: 31187000 DOI: 10.7759/cureus.4335

Choroidal melanoma is an uncommon malignant melanoma among non-Caucasians. We report here a case of a high myope patient who presented with symptoms of acute retinal detachment, which had been diagnosed as possible rhegmatogenous retinal detachment from the initial assessment. A detailed vitreoretinal evaluation revealed a glimpse of an obscured intraocular mass underneath the detached retina, which later proved to be a choroidal melanoma. This is an unexpected cause of retinal detachment in a myopic eye. Furthermore, the rare nature of choroidal melanoma in this particular region of the world makes this an ignored diagnosis at presentation.

Matched MeSH terms: Retinal Detachment

Treatment of macular hole retinal detachment

Lai YK

Br J Ophthalmol, 1990 Apr;74(4):201-2.

PMID: 2337542

Seven patients with macular hole retinal detachment were treated by intravitreal gas injection with or without release of subretinal fluid. Macular buckling, diathermy, cryopexy, or vitrectomy were not used. The patients were placed prone for eight hours a day until the gas had absorbed. In five of the seven patients the retina became reattached within three days and remained reattached with follow-up periods of three to 22 months (average nine months). It is believed that such detachments are due to vitreoretinal traction and the intravitreal gas bubble relieves this traction. This technique is simple, safe, and does not require costly or sophisticated instruments. It has an added advantage in preserving macular function.

Matched MeSH terms: Retinal Detachment/etiology; Retinal Detachment/pathology; Retinal Detachment/therapy*

Fulltext Pneumatic retinopexy for treatment of posterior pole detachment following vitreoretinal surgery for diabetic tractional retinal detachment threatening the fovea

Bastion ML

BMJ Case Rep, 2012;2012.

PMID: 22878988 DOI: 10.1136/bcr-2012-006303

To describe the usage of 100% perfluoropropane and subsequent laser retinopexy for the repair of posterior pole retinal detachment in a previously vitrectomised patient with diabetic tractional detachment.

Matched MeSH terms: Retinal Detachment/etiology; Retinal Detachment/physiopathology; Retinal Detachment/surgery*

Fulltext A novel de novo mutation in COL2A1 gene associated with fetal skeletal dysplasia

Chu FC, Hii LY, Hung TH, Lo LM, Hsieh TT, Shaw SW

Taiwan J Obstet Gynecol, 2021 Mar;60(2):359-362.

PMID: 33678343 DOI: 10.1016/j.tjog.2021.01.017

OBJECTIVE: Skeletal dysplasias, caused by genetic mutations, are a heterogenous group of heritable disorders affecting bone development during fetal life. Stickler syndrome, one of the skeletal dysplasias, is an autosomal dominant connective tissue disorder caused by abnormal collagen synthesis owing to a genetic mutation in COL2A1.

CASE REPORT: We present the case of a 38-year-old multipara woman whose first trimester screening showed a normal karyotype. However, the bilateral femur and humerus length symmetrically shortened after 20 weeks. Next-generation sequencing for mutations in potential genes leading to skeletal dysplasia detected a novel de novo mutation (c.1438G > A, p.Gly480Arg) in COL2A1, causing Stickler syndrome type 1. This pathogenic mutation might impair or destabilize the collagen structure, leading to collagen type II, IX, and XI dysfunction.

CONCLUSION: We identified a novel de novo mutation in COL2A1 related to the STL1 syndrome and delineated the extent of the skeletal dysplasia disease spectrum.

Matched MeSH terms: Retinal Detachment/diagnosis*; Retinal Detachment/embryology; Retinal Detachment/genetics*

Fulltext Retinal redetachment after pneumatic retinopexy – the importance of case selection

Muhammad Najmi, K., Aida Zairani, M.Z., Mushawiahti, M., Bastion, M.L.C., Amin, A.

Journal of Surgical Academia, 2017;7(2):18-20.

MyJurnal

Pneumatic retinopexy is known as one of the treatment options for a specific type of retinal detachment. It is done in
an office setting and may be the most cost-effective means of retinal reattachment surgery. Location and size of the
retinal break remain as the major criteria for a successful outcome. We describe a case that fulfilled all except one
major criteria for pneumatic retinopexy and underwent multiple procedures but failed. Fluctuation in the resolution
of the retinal detachment such as in this particular case suggested possibility of early treatment failure.

Matched MeSH terms: Retinal Detachment

Ocular presentations and toxoplasma serology

Zurainee MN, Khairul Anuar A, Fong MY, Hoh HB, Choon J, Rahmah N

JUMMEC, 2000;5:98-102.

During the period 1996-1998, 134 patients suspected of having ocular toxoplasmosis were seen in the Ophthalmology Clinic of the University Hospital, Kuala Lumpur. Clinical presentations in these patients ranged from poor vision to severe retinal detachment. Of these patients, 72% were confirmed positive for Toxoplasma gondii infection by serological methods. Chorioretinjtis and vitritis were found to be the most apparent symptoms, both having 100%correlation with serological positivity, This was followed by uveitis, floaters, and retinal detachment with correlation at 78%, 75%and 75%, respectively. However, there was no correlation between level of serotitre and ocular presentations. KEYWORDS: Toxoplasmosis, serology, chorioretinitis, uveitis

Matched MeSH terms: Retinal Detachment

Fulltext Familial exudative vitreoretinopathy presenting with unilateral rhegmatogenous retinal detachment in a Malay teenager

Leow SN, Bastion ML

BMJ Case Rep, 2013;2013.

PMID: 23645703 DOI: 10.1136/bcr-2013-009664

To describe a case of familial exudative vitreoretinopathy presenting with unilateral rhegmatogenous retinal detachment in a Malay teenager.

Matched MeSH terms: Retinal Detachment/diagnosis*; Retinal Detachment/surgery

Fulltext Surgical management of unilateral rhegmatogenous retinal detachment associated with ocular coloboma in a 7-year-old child with Noonan syndrome

Bastion ML, Qader AM

BMJ Case Rep, 2011;2011.

PMID: 22696753 DOI: 10.1136/bcr.02.2011.3889

The authors would like to present an unusual case of unilateral retinal detachment, phacodonesis, dense cataract and ocular coloboma in a 7-year-old Indian Muslim boy with Noonan syndrome. He underwent lensectomy, 23G pars planar vitrectomy, air fluid exchange, endolaser and silicone oil injection which successfully reattached the retina. His best corrected visual acuity was 6/24 6 months after the surgery and oil removal.

Matched MeSH terms: Retinal Detachment/etiology; Retinal Detachment/surgery*

Fulltext Saved by the buckle: primary buckle vitrectomy for macular hole detachment due to rapid progression of premacular fibrosis in acute retinal necrosis

Bastion ML

BMJ Case Rep, 2010;2010.

PMID: 22736756 DOI: 10.1136/bcr.11.2009.2488

This report describes the rapid progress of a case of unilateral acute retinal necrosis (ARN) that led to formation of a macular hole rhegmatogenous retinal detachment with advanced proliferative vitreo-retinopathy (PVR) changes over the space of 2 weeks. This necessitated primary vitrectomy with circumferential scleral buckle placement, which facilitated reattachment of the retina.

Matched MeSH terms: Retinal Detachment/etiology*; Retinal Detachment/surgery*

Fulltext Central serous choroidopathy in pregnancy

Normalina M, Zainal M, Alias D

Med J Malaysia, 1998 Dec;53(4):439-41.

PMID: 10971992

Central serous choroidopathy is a spontaneous serous detachment of the sensory retina, usually affecting adults between 20 to 50 years of age but is also found in patients older than 60 years of age. This disease usually affects males with a male to female ratio of 8-10 to 1. Many aetiological or associated factors have been described. Here we report a 39-year-old pregnant lady presented with left central serous chorioretinopathy preceded by an unusual emotional disturbance. She was not given any photocoagulative treatment to avoid possible photocoagulative complications. Post delivery, she presented with resolution of the CSC.

Matched MeSH terms: Retinal Detachment/pathology; Retinal Detachment/psychology*

Bilateral Norrie's disease in identical twins

Sukumaran K

Br J Ophthalmol, 1991 Mar;75(3):179-80.

PMID: 2012789

A case of Norrie's disease in an identical twins is reported. No positive family history was obtained. The couple had no other children. The older of the twins died at the age of 9 months of uncertain cause. To the best of my knowledge this is the first case of Norrie's disease reported in Malaysia. And its occurrence in an identical twins is very rare.

Matched MeSH terms: Retinal Detachment/congenital; Retinal Detachment/pathology

Surgery of aphakic retinal detachment

Singh M

Br J Ophthalmol, 1988 Nov;72(11):820-2.

PMID: 3207656

In a prospective study 84 patients with aphakic retinal detachment were treated either by local scleral buckling alone or combined with an encirclement. The rate of surgical reattachment of the retina was found to be similar with either technique over a minimum follow-up period of one year. Simplicity and a low incidence of serious complications of the local procedure merit its application as the initial method of repairing aphakic detachments.

Matched MeSH terms: Retinal Detachment/etiology; Retinal Detachment/surgery*

Fulltext Short-term postoperative perfluoro-n-octane tamponade for pediatric recurrent retinal detachment

Ling KP, Wu AL, Lai CC, Wu WC

Taiwan J Ophthalmol, 2019 1 15;8(4):249-252.

PMID: 30637197 DOI: 10.4103/tjo.tjo_100_18

We report a case with multiple recurrences of retinal detachment (RD) with severe proliferative vitreoretinopathy in a 12-year-old child who underwent vitrectomy using a heavy liquid perfluoro-n-octane (PFO) as a short-term postoperative tamponade. He had an encircling band and three vitrectomies with gas, followed by silicone oil tamponade for retinal redetachment prior to the use of PFO as a short-term tamponade. Short-term PFO tamponade was used in which inferior retinal reattachment was considered to be difficult with conventional gas or silicone oil tamponade, especially in regard to proper postoperative posturing. The PFO was left in the eye for 1 week, and the retina remained reattached after removal of the PFO which was replaced with silicone oil tamponade in this case. PFO appears feasible and tolerable as a short-term postoperative tamponade in the management of complex pediatric RD.

Matched MeSH terms: Retinal Detachment

Treatment of macular hole retinal detachment with macular plug in highly myopic eyes: three-year results

Wu AL, Ling KP, Chuang LH, Chen KJ, Chen YP, Yeung L, et al.

Acta Ophthalmol, 2020 Nov;98(7):e839-e847.

PMID: 32243725 DOI: 10.1111/aos.14418

PURPOSE: To investigate the long-term surgical outcomes of macular hole retinal detachment (MHRD) following vitrectomy with macular plug in highly myopic eyes.

METHODS: Thirty-five cases of highly myopic eyes with MHRD in 35 patients who underwent an initially successful vitrectomy with macular plug and were followed up for at least 3 years were reviewed. The anatomical outcomes were evaluated by fundus examination, fundus photographs and optical coherence tomography (OCT). Myopic features after the surgery were differentiated according to recommendations of the Meta-analysis of Pathologic Myopia (META-PM) Study Group. The best-corrected visual acuities (BCVAs) before and after surgery were analysed as the functional outcome. Main outcome measures time-course changes in BCVA and complications.

RESULTS: The mean patient age was 61.0 ± 11.4 years. The follow-up was 45.2 ± 8.6 months (ranged from 36 to 71 months). The mean axial length was 29.3 ± 1.2 mm. All eyes demonstrated attached retina, but 2 eyes (5.7%) developed reopened macular holes until the last follow-up. Complications of postoperative rhegmatogenous retinal detachment were detected in 2 eyes (5.7%) within 1 year and retina reattached after the secondary vitrectomy. Three cases (8.6%) of prolonged subretinal fluid lasting more than 1 year were detected but finally absorbed completely. Comparing 1-3 years postoperatively, myopic features showed significant progression of myopic maculopathy category (p = 0.035). Functionally, significantly improved BCVA could be maintained postoperatively between 6 months and 3 years. However, vision of 14 eyes (40.0%) worsened within 1-3 years postoperatively, and visual deterioration was associated with progression of myopic maculopathy (p = 0.004) and pre-existing disease of glaucoma (p = 0.006).

CONCLUSIONS: A vitrectomy combined with macular plug provided favourable outcomes in the long term, over the ≥3-year follow-up period.

Matched MeSH terms: Retinal Detachment/diagnosis; Retinal Detachment/etiology; Retinal Detachment/surgery*

Fulltext Recurrent orbital cellulitis secondary to the ‘forgotten’ scleral buckle: a case report

Hor, S.M., Noor Aniah, A., Mushawiahti, M., Mushawiahti, M., Bastion, M.L.C.

Journal of Surgical Academia, 2017;7(2):49-52.

MyJurnal

Scleral buckle placement is a well-established technique for the treatment of primary rhegmatogenous retinal
detachment. Complications associated with scleral buckle are uncommon and its presentations can be vary. We
report a case of recurrent orbital cellulitis with anterior segment ischemia following a forgotten episode of previous
scleral buckling surgery, presenting with blurring of vision, redness and swelling of the lids. The presence of scleral
buckle was detected by detailed examination and confirmed by orbital imaging. Orbital infection and rubeosis iridis
were successfully treated with scleral buckle removal, intravenous antibiotics and intracameral ranibizumab.
However, the retinal detachment recurred and the visual acuity deteriorated to light perception. There was no further
intervention as the family declined in view of her old age. In cases of recurrent orbital infection, detailed clinical
examination is important to look for evidence of ocular prostheses as a source of infection. Orbital imaging is an
adjunct for making the diagnosis especially in cases where history is unreliable. Anterior segment ischemia due to
scleral buckle responds well to buckle removal with ranibizumab injection.

Matched MeSH terms: Retinal Detachment

Fulltext Retinoblastoma in an older child: a case report

Ong, Wu Zhuan, Jamalia Rahmat, Ramasamy, Sunder, Amir Samsudin

Malaysian Journal of Medicine and Health Sciences, 2018;14(2):93-96.

MyJurnal

Retinoblastoma is a rare intraocular malignant tumour more commonly seen in children below five years of age. We presented a rare case of retinoblastoma in an older child. A nine-year-old girl noticed that she had loss of vision OS following a fall at home. Her vision was 6/6 OD and only light perception OS. Examination of the left eye revealed an extensive exudative retinal detachment. Her right eye examination was unremarkable. CT scan showed a left eye intraocular mass with calcification. EUA revealed a mixed endophytic and exophytic mass with extensive exudative retinal detachment. Family members consented to left eye enucleation and histopathological report confirmed the diagnosis of retinoblastoma. Post enucleation, patient is doing well with a prosthetic eye. In conclusion, any unexplained visual loss in children regardless of age warrants a full ophthalmological examination as the possibility of retinoblastoma cannot be ruled out.

Matched MeSH terms: Retinal Detachment

Displaying publications 1 - 20 of 38 in total