Macular retinal detachment associated with intrachoroidal cavitation in myopic patients
Journal
Graefe's Archive for Clinical and Experimental Ophthalmology
Journal Volume
253
Journal Issue
9
Pages
1437-1446
Date Issued
2015
Author(s)
Abstract
Purpose: To investigate the clinical characteristics and treatment outcomes of macular retinal detachment (MRD) associated with intrachoroidal cavitation (ICC) in myopic patients. Methods: In this retrospective, consecutive, interventional case series, five patients with ICC and associated MRD were enrolled from January 2005 to December 2012. Basic ocular characteristics and clinical appearances of their ICC and MRD were recorded. Individual treatment courses were assessed with fundus photographs and serial optical coherence tomography. Results: The average age and refraction were 43.8 ± 11.0?years old and ?9.37 ± 2.73 diopters, respectively. Initial BCVA ranged from 20/100 to 20/30. Definite communication between the ICC and the subretinal space was noted in one case, suspected curvilinear communication in two cases, and between the peripapillary area and the subretinal space in two cases. Two cases received intravitreal injection of perfluoropropane and peripapillary laser; subretinal fluid (SRF) resolved in one and decreased in the other. One case had SRF reabsorbed after prolonged use of topical carbonic anhydrase inhibitor. Conclusions: ICC in high myopic patients may be associated with MRD. There might be communication between the ICC and the subretinal space. Intravitreal injection of an expansile gas may be beneficial, but the best treatment remains undetermined. ? 2014, Springer-Verlag Berlin Heidelberg.
Subjects
Expansile gas; Intrachoroidal cavitation; Macular retinal detachment
SDGs
Other Subjects
perflutren; fluorocarbon; perflutren; adult; Article; choroid disease; clinical article; controlled study; disease association; eye photography; eye refraction; human; intrachoroidal cavitation; laser; macular retinal detachment; male; myopia; optical coherence tomography; peripapillary laser; priority journal; retina detachment; retrospective study; subretinal fluid; body posture; case report; Choroid Diseases; complication; degenerative myopia; endotamponade; female; fluorescence angiography; intraocular pressure; middle aged; physiology; Retinal Detachment; visual acuity; Adult; Choroid Diseases; Endotamponade; Female; Fluorescein Angiography; Fluorocarbons; Humans; Intraocular Pressure; Male; Middle Aged; Myopia, Degenerative; Prone Position; Refraction, Ocular; Retinal Detachment; Retrospective Studies; Subretinal Fluid; Tomography, Optical Coherence; Visual Acuity
Publisher
Springer Verlag
Type
journal article