Gasparian Suzie, Enghelberg Moises, Chalam Kakarla V
Ophthalmology, Loma Linda University School of Medicine, Loma Linda, USA.
Retina Service, Loma Linda University Eye Institute, Loma Linda, USA.
Cureus. 2021 Nov 10;13(11):e19437. doi: 10.7759/cureus.19437. eCollection 2021 Nov.
Retinal detachment in congenital glaucoma is rare and often associated with a poor prognosis. In this report, we describe ocular manifestations of congenital glaucoma, pre- and post-operative ophthalmic findings, and overall anatomic and functional outcomes after successful rhegmatogenous retinal detachment repair along with a review of the literature. Rhegmatogenous retinal detachment in a 45-year-old monocular patient with congenital glaucoma was successfully repaired with small gauge pars plana vitrectomy, intra-operative perfluorocarbon use and 1,000 centistoke silicone oil tamponade. Best-corrected visual acuity improved from CF to 20/70; however, the post-operative course was complicated by hypotony-associated maculopathy after removal of silicone oil. Five thousand centistoke silicone oil was reinfused with good anatomic and functional outcomes. The functional outcome may ultimately be limited by pre-existing amblyopia and other ocular comorbidities.
先天性青光眼合并视网膜脱离较为罕见，且预后通常较差。在本报告中，我们描述了先天性青光眼的眼部表现、手术前后的眼科检查结果，以及成功修复孔源性视网膜脱离后的整体解剖和功能预后，并对相关文献进行了综述。一名45岁单眼先天性青光眼患者的孔源性视网膜脱离通过小切口玻璃体切除术、术中使用全氟碳化合物及1000厘沲硅油填塞成功修复。最佳矫正视力从眼前指数提高到20/70；然而，硅油取出后出现低眼压相关性黄斑病变，使术后病程复杂化。再次注入5000厘沲硅油后，获得了良好的解剖和功能预后。功能预后最终可能受既有弱视及其他眼部合并症的限制。
