J Korean Ophthalmol Soc > Volume 59(8); 2018 > Article
Journal of the Korean Ophthalmological Society 2018;59(8):790-796.
DOI: https://doi.org/10.3341/jkos.2018.59.8.790    Published online August 15, 2018.
Pars Plana Vitrectomy for Cystoid Macular Edema in a Retinitis Pigmentosa Patient.
Yu Jin Choi, Min Ho Shin, Yong Seop Han, Seong Wook Seo, Ji Myong Yoo, In Young Chung
1Department of Ophthalmology, Gyeongsang National University College of Medicine, Jinju, Korea. in0chung@hanmail.net
2Department of Ophthalmology, Gyeongsang National University Changwon Hospital, Changwon, Korea.
3Gyeongsang Institute of Health Sciences, Gyeongsang National University, Jinju, Korea.
유리체절제술로 치료한 망막색소변성 환자의 낭포황반부종 1예
최유진1⋅신민호1⋅한용섭1,2⋅서성욱1,3⋅유지명1,3⋅정인영1,3
경상대학교 의과대학 안과학교실1, 창원경상대학교병원 안과2, 경상대학교 건강과학연구원3
Correspondence:  In Young Chung,
Email: in0chung@hanmail.net
Received: 8 March 2018   • Revised: 28 May 2018   • Accepted: 20 July 2018
Abstract
PURPOSE
To report the first case of cystoid macular edema in a retinitis pigmentosa patient with pars plana vitrectomy. CASE SUMMARY: A 43-year-old female visited our hospital with visual disturbances of both eyes. Corrected visual acuity was 20/22 in the right eye and 20/25 in the left eye. Peripheral depigmentation and atrophy of the retinal pigment epithelium, pigmentary retinal degeneration, and attenuated arterioles were observed in both eyes. Cystoid macular edema was observed on optical coherence tomography which showed that the central macular thickness was 308 µm in the right eye and 422 µm in left eye. Intravitreal aflibercept was injected into the left eye. One month after injection, the central macular thickness showed no response with a thickness of 449 µm. An intravitreal dexamethasone implant was then injected, 1 month after injection, the central macular thickness was 367 µm. Six months after injection, the patient again complained of visual disturbance of the left eye with a corrected visual acuity of 20/70. Vitreous opacity was observed and the central macular thickness was 501 µm. The patient underwent pars plana vitrectomy. Three days after surgery, the central macular thickness was 320 µm. One year after surgery, the corrected visual acuity was 20/33 and the central macular thickness was 311 µm. CONCLUSIONS: Pars plana vitrectomy due to cystoid macular edema in a retinitis pigmentosa patient has not been previously reported in the Republic of Korea. Pars plana vitrectomy can therefore be an effective treatment for cystoid macular edema in retinitis pigmentosa patients.
Key Words: Central macular thickness;Cystoid macular edema;Pars plana vitrectomy;Retinitis pigmentosa


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