Anant Bajaj Retina Institute, Smt Kanuri Santhamma center for Vitreo-retinal diseases, LV Prasad Eye Institute, Hyderabad, Telangana, India.
Anant Bajaj Retina Institute, Smt Kanuri Santhamma center for Vitreo-retinal diseases, LV Prasad Eye Institute, Hyderabad, Telangana, India
BMJ Case Rep. 2023 Feb 14;16(2):e253738. doi: 10.1136/bcr-2022-253738.
We report for the first time a child with incontinentia pigmenti presenting with acute-onset rhegmatogenous retinal detachment in association with pre-existing tractional retinal detachment. Due to the combined nature of this detachment, complex vector forces acting on the retina makes this a difficult to treat situation. A single surgery of modified scleral imbrication with scleral buckle was effective in reattaching the retina by providing a very high buckle indent to accommodate all the complex vector forces. Commonly used procedure of vitrectomy and silicone oil usage was avoided as that often requires multiple surgeries and may result in variable and unpredictable response.
我们首次报告了一例伴有既往牵拉性视网膜脱离的迟发性渗出性视网膜脱离的色素失禁症患儿。由于这种脱离的复杂性，作用于视网膜的复杂向量力使得这种情况难以治疗。通过提供非常高的扣带凹陷来适应所有复杂的向量力，改良巩膜镶嵌术联合巩膜扣带术的单次手术有效地将视网膜重新连接。通常避免使用玻璃体切除术和硅油使用等常用方法，因为这些方法通常需要多次手术，并且可能导致结果不一致和不可预测。
