| Systemic Steroid Therapy for Serous Retinal Detachment Caused by Excessive Endolaser during Diabetic Retinopathy Surgery. |
|
Ji Soo Shin, Chung Hwan Kim, Young Suk Chang, Young Hoon Lee |
|
Department of Ophthalmology, Konyang University College of Medicine, Daejeon, Korea. Astrix001@gmail.com |
| 당뇨망막병증 수술 중 과도한 레이저술 후 발생한 장액망막박리에서 전신 스테로이드 치료 2예 |
|
신지수⋅김청환⋅장영석⋅이영훈 |
|
건양대학교 의과대학 안과학교실 |
Correspondence:
Young Hoon Lee,
Email: Astrix001@gmail.com
|
|
Received: 5 June 2015 • Revised: 30 October 2015 • Accepted: 30 December 2015 |
| Abstract |
PURPOSE
To report cases of macular serous retinal detachment caused by excessive intraoperative endolaser in patients with diabetic vitreous hemorrhage. Macular serous retinal detachment was improved by systemic steroid therapy. CASE SUMMARY: A 64-year-old male (case 1) and a 67-year-old female (case 2) treated with vitrectomy and endolaser (case 1, 3,184 shots; case 2, 1,734 shots) because of diabetic vitreous hemorrhage visited our out-patient clinic with blurred vision. Best corrected visual acuity (BCVA) in case 1 was hand motion and 0.03 in case 2. Fundus examination and optical coherence tomography (OCT) revealed extensive subretinal fluid accumulation of the posterior pole. With the diagnosis of macular serous retinal detachment caused by excessive intraoperative endoaser, oral steroid (40 mg/qd, 5 days) was administered and then later reduced in case 1. In case 2, we administered intravenous high-dose steroid (250 mg/qid, 3 days). After systemic steroid therapy, BCVA was improved to 20/30 in case 1 and 20/40 in case 2 and OCT showed the subretinal fluid was resolved. CONCLUSIONS: During diabetic retinopathy surgery, excessive endolaser induced macular serous retinal detachment and systemic steroid therapy was necessary in diabetic patients. Thus, physicians should be well acquainted with this complication. |
| Key Words:
Endolaser;Macular serous retinal detachment;Systemic steroid therapy;Vitrectomy |
|
PDF Links
Full text via DOI
Download Citation
