Intraretinal cyst secondary to longstanding retinal detachment

Purpose To describe the diagnosis and management of an intraretinal cyst. Case Report A 34-year-old man with a history of retinal detachment presented sudden loss of vision in the left eye. Visual acuity was hand movement. Examination revealed hematic vitreous haze and ultrasound showed a rounded mo...

Full description

Saved in:
Bibliographic Details
Published in:European journal of ophthalmology 2012-05, Vol.22 (3), p.506-508
Main Authors: Verdaguer, Paula, Nadal, Jeroni
Format: Article
Language:English
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Purpose To describe the diagnosis and management of an intraretinal cyst. Case Report A 34-year-old man with a history of retinal detachment presented sudden loss of vision in the left eye. Visual acuity was hand movement. Examination revealed hematic vitreous haze and ultrasound showed a rounded mobile object in the vitreous cavity. Results After differential diagnosis ruled out cysticercosis, pars plana vitrectomy revealed a neovascularized intraretinal macrocyst attached to a posterior flap of a 13-year-old retinal tear. Retinotomy and retinectomy were performed, removing this cyst located in the upper retina together with a portion of detached retina. At 1 year, the retina had adapted and the vitreous cavity was clear. Final visual acuity was 18/20. Conclusions Intraretinal cysts are usually asymptomatic and associated with long-standing retinal detachment, as seen in our clinical case. Periodic fundus examination is essential for their detection. Surgical treatment of the underlying condition usually leads to complete resolution.
ISSN:1120-6721
1724-6016
DOI:10.5301/ejo.5000034