Treatment of hemorrhagic retinal detachment additionally complicated by vitreous hemorrhage in a patient with end-stage renal failure
Introduction: End-stage renal disease (ESRD) is thought to be the cause of a number of retinal conditions such as retinal vein thrombosis, retinal artery occlusion, age-related macular degeneration or serous retinal detachment. ESRD is more often observed in adults than in children. Exudative or hem...
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| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Śląski Uniwersytet Medyczny w Katowicach
2025-03-01
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| Series: | Annales Academiae Medicae Silesiensis |
| Subjects: | |
| Online Access: | https://annales.sum.edu.pl/Treatment-of-hemorrhagic-retinal-detachment-additionally-complicated-by-vitreous,199875,0,2.html |
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| Summary: | Introduction: End-stage renal disease (ESRD) is thought to be the cause of a number of retinal conditions such as retinal vein thrombosis, retinal artery occlusion, age-related macular degeneration or serous retinal detachment. ESRD is more often observed in adults than in children. Exudative or hemorrhagic retinal detachment is the pathological separation of the neurosensory retina from the pigment epithelium through the accumulation of exudative fluid and/or blood between them. Subretinal hemorrhage (SRH) then occurs, resulting in hemorrhagic retinal detachment.
Case report: A 73-year-old woman presented with sudden visual impairment in the right eye. She has been on hemodialysis three times a week for four years due to ESRD. Visual acuity testing showed light perception in the right eye and 5/16 in the left eye. The intraocular pressure was 15 mmHg in the right eye and 18 mmHg in the left eye. An ultrasound of the right eye revealed hemorrhagic retinal detachment with hemorrhage into the vitreous chamber. The patient was qualified for pars plana vitrectomy. A pars plana vitrectomy procedure was performed with subretinal blood removal, retinal laser therapy and silicone oil endotamponade of the right eye. In the postoperative period, in the examination follow-up, visual acuity in the right eye was achieved at the level of hand movements in front of the eye, and intraocular pressure at 13 mmHg.
Conclusions: Pars plana vitrectomy with silicone oil administration proved to be an effective treatment for this patient. Improvement and stabilization of the local condition was achieved. |
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| ISSN: | 1734-025X |