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Surgical treatment of vitreoretinal complications in a patient with Stickler syndrome type 1: a case report
, 1, 1, 1, 2, 3
Affiliations- Retina and Vitreous Fellow, Grupo Oftalmológico Abdala-Figuerola AF, Barranquilla, Colombia
- Ophthalmology Resident, Universidad del Sinú, Cartagena de Indias, Colombia
- Retina and Vitreous Surgeon, Grupo Oftalmológico Abdala-Figuerola AF, Barranquilla, Colombia
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Abstract
We present the clinical case of an 8-years-old male patient with a genetic diagnosis of Stickler syndrome type 1 and the management of associated vitreoretinal complications. The patient had an antecedent of no light perception in his left eye secondary to retinal detachment treated in another health centre. He consulted with a history of blunt trauma in his head with an unremarkable anterior segment and fundus exam. Scleral indentation showed no lesions to be treated in the right eye. We recommended follow-up every six months. The patient did not come to controls. He was consulted three years later because of visual loss in his right eye. Fundus showed a total retinal detachment secondary to a giant retinal tear of 320º with macular involvement and choroidal detachments. Therefore, scleral buckling, lensectomy, pars plana vitrectomy, inferior retinectomy, endovenous laser treatment (endolaser), and silicone oil tamponade were performed. After six weeks of follow-up, the patient presented an inferior re-detachment with grade C3 vitreoretinal proliferation. A new procedure of silicone oil removal, epiretinal membrane removal, enlargement of inferior retinectomy, endolaser, and silicone oil tamponade was indicated. After 6-months of follow-up, no new retinal detachment was presented, and the best-corrected visual acuity was 20/100.
Abstract
We present the clinical case of an 8-years-old male patient with a genetic diagnosis of Stickler syndrome type 1 and the management of associated vitreoretinal complications. The patient had an antecedent of no light perception in his left eye secondary to retinal detachment treated in another health centre. He consulted with a history of blunt trauma in his head with an unremarkable anterior segment and fundus exam. Scleral indentation showed no lesions to be treated in the right eye. We recommended follow-up every six months. The patient did not come to controls. He was consulted three years later because of visual loss in his right eye. Fundus showed a total retinal detachment secondary to a giant retinal tear of 320º with macular involvement and choroidal detachments. Therefore, scleral buckling, lensectomy, pars plana vitrectomy, inferior retinectomy, endovenous laser treatment (endolaser), and silicone oil tamponade were performed. After six weeks of follow-up, the patient presented an inferior re-detachment with grade C3 vitreoretinal proliferation. A new procedure of silicone oil removal, epiretinal membrane removal, enlargement of inferior retinectomy, endolaser, and silicone oil tamponade was indicated. After 6-months of follow-up, no new retinal detachment was presented, and the best-corrected visual acuity was 20/100.
Keywords
Stickler syndrome; retinal detachment; pars plana vitrectomy; vitreous; genetics
About this articleTitle
Surgical treatment of vitreoretinal complications in a patient with Stickler syndrome type 1: a case report
Journal
Issue
Vol 6 (2021): Continuous Publishing
Article type
Case report
Pages
113-116
Published online
2021-09-28
Page views
6208
Article views/downloads
340
DOI
Bibliographic record
Ophthalmol J 2021;6:113-116.
Keywords
Stickler syndrome
retinal detachment
pars plana vitrectomy
vitreous
genetics
Authors
Nicolás Rivera-Valdivia
Carlos Salgado-Cerrate
Pablo Cabal-López
Hiroshi Maeda-Yasunaga
Laura Pacheco-Palomino
Carlos Abdala-Caballero
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