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Persistent serous retinal detachment after radial optic neurotomy
Author(s) -
Strauss Rupert W,
Priglinger Siegfried G,
Alge Claudia S,
Grueterich Martin,
Haritoglou Christos
Publication year - 2006
Publication title -
clinical and experimental ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.3
H-Index - 74
eISSN - 1442-9071
pISSN - 1442-6404
DOI - 10.1111/j.1442-9071.2006.01332.x
Subject(s) - medicine , tamponade , retinal detachment , ophthalmology , retinal , optic nerve , vitrectomy , neurotomy , laser coagulation , central retinal vein occlusion , retina , surgery , visual acuity , optics , macular edema , physics
A bstract We report the case of a patient presenting with serous retinal detachment following radial optic neurotomy for central retinal vein occlusion. Initially, the retinal detachment was successfully treated by a second vitrectomy and laser coagulation. After reabsorption of the gas tamponade, a recurrence of the retinal detachment was seen with no detectable retinal break. Although other mechanisms should be taken into account, this case indicates that it is possible to create a fistula between the subarachnoid and subretinal space. We conclude from this observation that special attention should be paid to the depth of the radial incision into the optic nerve head.