J Korean Ophthalmol Soc > Volume 58(1); 2017 > Article
Journal of the Korean Ophthalmological Society 2017;58(1):98-105.
DOI: https://doi.org/10.3341/jkos.2017.58.1.98    Published online January 15, 2017.
Two Cases of Serous Retinal Detachment Following Vitrectomy in Patients with Proliferative Diabetic Retinopathy.
Jang Hun Lee, Sa Kang Kim, Sang Beom Han, Seung Jun Lee, Moo Sang Kim
Department of Ophthalmology, Kangwon National University School of Medicine, Chuncheon, Korea. kimmoo-79@hanmail.net
증식당뇨망막병증 환자에서 유리체절제술 후 발생한 황반부 장액망막박리 2예
이장훈⋅김사강⋅한상범⋅이승준⋅김무상
강원대학교 의학전문대학원 안과학교실
Abstract
PURPOSE
In the present study, 2 cases of serous retinal detachment in patients diagnosed with proliferative diabetic retinopathy after pars plana vitrectomy are reported. CASE SUMMARY: (Case 1) A 38-year-old female diagnosed with high-risk proliferative diabetic retinopathy underwent pars plana vitrectomy and cataract surgery due to intravitreal hemorrhage. One day after the operation, fundus photograph and optical coherence tomography (OCT) revealed serous retinal detachment. After ensuring that no retinal hole was present based on fundus examination, the patient was diagnosed with serous retinal detachment and antimicrobial and steroid eye drops were applied. After 1 week, subretinal fluid disappeared. (Case 2) A 63-year-old male diagnosed with proliferative diabetic retinopathy underwent pars plana vitrectomy due to right vitreous hemorrhage. On postoperative day 1, focal subretinal fluid under the macula was observed using OCT. Intravitreal triamcinolone injection was performed during surgery and steroid eye drops were applied. Subretinal fluid collection was absorbed 5 days postoperatively. CONCLUSIONS: Two cases of serous retinal detachment that occurred postoperatively in patients with diabetic retinopathy are reported. Serous retinal detachment was resolved after several days without specific management.
Key Words: Endolaer photocoagulation;Proliferative diabetic retinopathy;Serous retinal detachment;Vitrectomy


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