Baba Takayuki, Tatsumi Tomoaki, Oshitari Toshiyuki, Yamamoto Shuichi
Department of Ophthalmology and Visual Science, Chiba University Graduate School of Medicine, Chiba, Japan.
Department of Ophthalmology, International University of Health and Welfare, Narita, Japan.
Case Rep Ophthalmol. 2021 Apr 12;12(1):219-226. doi: 10.1159/000511372. eCollection 2021 Jan-Apr.
The purpose of this report was to present our findings in 4 cases of rhegmatogenous retinal detachment (RRD) that recurred 10, 11, 12, and 17 years after a reattachment surgery by pars plana vitrectomy (PPV).
Four cases of a recurrent RRD had undergone scleral buckling surgery and vitrectomy.
The recurrence of the RRD was observed 10-17 years after the successful attachment by PPV. The macula was detached in all cases, and none of the eyes had severe proliferative vitreoretinopathy. The cause of the recurrence was a new retinal break in 3 eyes and a reopening of an old retinal break in the other eye. The new breaks had a punched-out shape and had neither a horseshoe tear nor an atrophic hole associated with lattice degeneration. PPV combined with scleral buckling was performed, and a reattachment was achieved in all cases. The best-corrected visual acuity (BCVA) at the last visit ranged from 20/30 to 20/25, but the BCVA in 1 eye was 20/200 because of amblyopia.
We experienced 4 rare cases of a recurrent retinal detachment 10-17 years after the primary RRD. PPV and scleral buckling were effective and the anatomical and the functional outcomes were good.
本报告旨在阐述4例孔源性视网膜脱离（RRD）患者的研究结果，这些患者在接受玻璃体切除联合巩膜扣带术（PPV）视网膜复位手术后10、11、12和17年出现复发。
4例复发性RRD患者均接受过巩膜扣带术和玻璃体切除术。
RRD复发发生在PPV成功视网膜复位术后10 - 17年。所有病例黄斑均脱离，且无一眼发生严重增生性玻璃体视网膜病变。复发原因是3只眼出现新的视网膜裂孔，另一只眼旧的视网膜裂孔重新开放。新裂孔呈圆形，既无马蹄形裂孔也无与格子样变性相关的萎缩性裂孔。均行PPV联合巩膜扣带术，所有病例均实现视网膜复位。末次随访时最佳矫正视力（BCVA）范围为20/30至20/25，但1只眼因弱视BCVA为20/200。
我们遇到4例原发性RRD后10 - 17年复发性视网膜脱离的罕见病例。PPV和巩膜扣带术有效，解剖和功能预后良好。
