Late Onset Retinal Detachment from a Retinal Tear Associated with Laser Indirect Ophthalmoscopy for Retinopathy of Prematurity: A Case Report

Late-onset rhegmatogenous retinal detachment is a sight-threatening condition which threatens children who had premature retinopathy with laser indirect ophthalmoscopy, according to a case study presented at the 37th ASRS Annual Meeting by Ronnie Manaysay, MD, of the University of Santo Tomas Hospital.

This descriptive clinical case report focused on a 12-year-old boy who was born prematurely at 24-weeks weighing 1,200 grams and was first presented with blurred vision in his left eye. The patient was diagnosed with premature retinopathy in both eyes and subsequently underwent subsequently underwent laser indirect ophthalmoscopy which regressed the retinopathy. The patient was initially seen at a different institution where a B-scan ultrasound was performed and showed retinal detachment. Surgery was advised, but instead, the decision was made for the boy to transfer to the University of Santo Tomas Hospital.

An eye examination showed retinal tears on the superior border of the normal retina and lasered periphery on both eyes. The right eye has an attached retina, however, the left eye had total retinal detachment. The right eye underwent focal laser therapy immediately, which prevented detachment of the retina. The left eye then underwent scleral buckling with a 240-encircling band, lens sparing pars plana vitrectomy, endolaser, and injection of 1000 centistoke silicon oil. Retina was attached post-operatively and visual acuity was 20/50 from counting fingers.

The researchers noted that for this patient, “long-term follow-up, possibly life-long, is warranted to prevent visual impairment from this retinal complications and initiate treatment as early as possible.”

Manaysay R. Late Onset Retinal Detachment from a Retinal Tear Associated with Laser Indirect Ophthalmoscopy for Retinopathy of Prematurity: A Case Report. Presented at the 37th ASRS Annual Meeting; July 26-30, 2019; Chicago, IL.

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