Worsening of Retinal Detachment after Cataract Surgery in the Eye with Persistent Fetal Vasculature

Purpose. To report a case of persistent fetal vasculature (PFV) with a retinal detachment that worsened after cataract surgery. Pars plana vitrectomy (PPV) was performed which reduced the vitreous traction and reattached the retina. Observations. A 20-year-old Myanmarese woman presented with a matur...

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Main Authors: Yuri Aikawa, Takayuki Baba, Tomohiro Nizawa, Hirotaka Yokouchi, Shuichi Yamamoto
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2021/6641161
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author Yuri Aikawa
Takayuki Baba
Tomohiro Nizawa
Hirotaka Yokouchi
Shuichi Yamamoto
author_facet Yuri Aikawa
Takayuki Baba
Tomohiro Nizawa
Hirotaka Yokouchi
Shuichi Yamamoto
author_sort Yuri Aikawa
collection DOAJ
description Purpose. To report a case of persistent fetal vasculature (PFV) with a retinal detachment that worsened after cataract surgery. Pars plana vitrectomy (PPV) was performed which reduced the vitreous traction and reattached the retina. Observations. A 20-year-old Myanmarese woman presented with a mature cataract, and her vision was light perception. She underwent uneventful cataract surgery with implantation of an intraocular lens. Her visual acuity improved to 20/200 immediately after the surgery. However, fibrotic tissue was observed between the optic nerve head and the posterior capsule. She was diagnosed with PFV, and she was followed without any intervention. One and a half years after the cataract surgery, she had an advanced retinal detachment which extended over the inferior two quadrants. Her vision deteriorated to 20/400. She underwent PPV, and the PFV tissue was removed which resulted in the reattachment of the retina. The visual acuity improved to 20/60. Conclusions. Surgeons should be aware that it is possible to worsen a retinal detachment after cataract surgery in the eyes with PFV. A simple technique to release the anterior-posterior traction by the PPV was sufficient to achieve the reattachment of the retina.
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spelling doaj-art-25dccc0bd22a462fb674fb67fc253e082025-02-03T05:44:12ZengWileyCase Reports in Medicine1687-96271687-96352021-01-01202110.1155/2021/66411616641161Worsening of Retinal Detachment after Cataract Surgery in the Eye with Persistent Fetal VasculatureYuri Aikawa0Takayuki Baba1Tomohiro Nizawa2Hirotaka Yokouchi3Shuichi Yamamoto4Department of Ophthalmology and Visual Science, Chiba University Graduate School of Medicine, Chiba, JapanDepartment of Ophthalmology and Visual Science, Chiba University Graduate School of Medicine, Chiba, JapanDepartment of Ophthalmology and Visual Science, Chiba University Graduate School of Medicine, Chiba, JapanDepartment of Ophthalmology and Visual Science, Chiba University Graduate School of Medicine, Chiba, JapanDepartment of Ophthalmology and Visual Science, Chiba University Graduate School of Medicine, Chiba, JapanPurpose. To report a case of persistent fetal vasculature (PFV) with a retinal detachment that worsened after cataract surgery. Pars plana vitrectomy (PPV) was performed which reduced the vitreous traction and reattached the retina. Observations. A 20-year-old Myanmarese woman presented with a mature cataract, and her vision was light perception. She underwent uneventful cataract surgery with implantation of an intraocular lens. Her visual acuity improved to 20/200 immediately after the surgery. However, fibrotic tissue was observed between the optic nerve head and the posterior capsule. She was diagnosed with PFV, and she was followed without any intervention. One and a half years after the cataract surgery, she had an advanced retinal detachment which extended over the inferior two quadrants. Her vision deteriorated to 20/400. She underwent PPV, and the PFV tissue was removed which resulted in the reattachment of the retina. The visual acuity improved to 20/60. Conclusions. Surgeons should be aware that it is possible to worsen a retinal detachment after cataract surgery in the eyes with PFV. A simple technique to release the anterior-posterior traction by the PPV was sufficient to achieve the reattachment of the retina.http://dx.doi.org/10.1155/2021/6641161
spellingShingle Yuri Aikawa
Takayuki Baba
Tomohiro Nizawa
Hirotaka Yokouchi
Shuichi Yamamoto
Worsening of Retinal Detachment after Cataract Surgery in the Eye with Persistent Fetal Vasculature
Case Reports in Medicine
title Worsening of Retinal Detachment after Cataract Surgery in the Eye with Persistent Fetal Vasculature
title_full Worsening of Retinal Detachment after Cataract Surgery in the Eye with Persistent Fetal Vasculature
title_fullStr Worsening of Retinal Detachment after Cataract Surgery in the Eye with Persistent Fetal Vasculature
title_full_unstemmed Worsening of Retinal Detachment after Cataract Surgery in the Eye with Persistent Fetal Vasculature
title_short Worsening of Retinal Detachment after Cataract Surgery in the Eye with Persistent Fetal Vasculature
title_sort worsening of retinal detachment after cataract surgery in the eye with persistent fetal vasculature
url http://dx.doi.org/10.1155/2021/6641161
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