Retinal Cases and Brief Reports最新文献_第8页

Spontaneous Closure of a Macular Hole Secondary to Paracentral Acute Middle Maculopathy After Vitrectomy for Retinal Detachment. 视网膜脱离玻璃体切除术后继发于中央旁急性中黄斑病变的自发性黄斑孔闭合。

Retinal Cases and Brief Reports Pub Date : 2026-06-23 DOI: 10.1097/ICB.0000000000001946

Mustafa Hepokur, Nursena Arslan

引用次数: 0

The Side-Steamroll: a Modified Steamroller Maneuver to Control Fluid Displacement After Pneumatic Retinopexy. 侧压路机：一种改进的压路机机动来控制气动视网膜固定术后的流体位移。

Retinal Cases and Brief Reports Pub Date : 2026-06-22 DOI: 10.1097/ICB.0000000000001940

Jeffrey M Mah, Shiva Sabour, Sueellen Demian, Isabela Martins Melo, Tomas Minelli, Aurora Pecaku, Rajeev H Muni

{"title":"The Side-Steamroll: a Modified Steamroller Maneuver to Control Fluid Displacement After Pneumatic Retinopexy.","authors":"Jeffrey M Mah, Shiva Sabour, Sueellen Demian, Isabela Martins Melo, Tomas Minelli, Aurora Pecaku, Rajeev H Muni","doi":"10.1097/ICB.0000000000001940","DOIUrl":"https://doi.org/10.1097/ICB.0000000000001940","url":null,"abstract":"Purpose: To demonstrate how the side-steamroll, a modified steamroller maneuver, can be used to prevent inferior displacement of subretinal fluid (SRF) after pneumatic retinopexy (PnR) when inferior attached retinal breaks are present.Methods: Consecutive case series of four patients with primary rhegmatogenous retinal detachment (RRD) with inferior attached retinal breaks who underwent PnR followed by the side-steamroll. Outcomes included primary reattachment, additional surgical interventions, final reattachment, and final best-corrected visual acuity (BCVA) with a minimum follow-up of 5 months.Results: Three of the four eyes achieved primary reattachment. One patient required a rescue combined scleral buckle and pars plana vitrectomy procedure to achieve reattachment. One patient developed a late redetachment from a new break at 3 months requiring a scleral buckle procedure. At the final follow-up, BCVA was improved in three of the four eyes and reattachment was achieved in all eyes.Conclusions: The side-steamroll is a promising technique to increase the rate of primary reattachment when performing PnR for RRDs with SRF close to attached retinal breaks below the 08:00 and 04:00 o'clock meridians. Further studies with larger sample sizes are required to further explore this relationship.","PeriodicalId":53580,"journal":{"name":"Retinal Cases and Brief Reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148297296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Subretinal Injection Using a Hinged Internal Limiting Membrane Flap Technique for Submacular Hemorrhage. 应用铰链内限制膜瓣技术进行视网膜下注射治疗黄斑下出血。

Retinal Cases and Brief Reports Pub Date : 2026-06-09 DOI: 10.1097/ICB.0000000000001945

Sho Yokoyama, Toshio Mori, Kazuki Yoshioka, Hiroyuki Sato, Kazuo Ichikawa

{"title":"Subretinal Injection Using a Hinged Internal Limiting Membrane Flap Technique for Submacular Hemorrhage.","authors":"Sho Yokoyama, Toshio Mori, Kazuki Yoshioka, Hiroyuki Sato, Kazuo Ichikawa","doi":"10.1097/ICB.0000000000001945","DOIUrl":"https://doi.org/10.1097/ICB.0000000000001945","url":null,"abstract":"Purpose: To describe a hinged internal limiting membrane (ILM) flap technique designed to stabilize the retinal puncture site during pars plana vitrectomy with subretinal injection for submacular hemorrhage (SMH), and to evaluate its clinical outcomes.Methods: In this retrospective case series, we included eight consecutive patients with eight eyes that underwent surgery for SMH using the hinged ILM flap technique at Japan Community Healthcare Organization Chukyo Hospital and Chukyo Eye Clinic between April 2022 and December 2025. Surgical indications were SMH involving the fovea with a maximum diameter of ≥3 disc diameters extending beyond the vascular arcades. During surgery, either balanced salt solution or tissue plasminogen activator was injected into the subretinal space using the hinged ILM flap technique, followed by subretinal air injection in all cases. Primary outcomes included intraoperative and postoperative complications and changes in best-corrected visual acuity (BCVA).Results: No intraoperative or postoperative complications, including rhegmatogenous retinal detachment, were observed. Mean BCVA improved from 1.09 logarithm of the minimum angle of resolution (logMAR) (approximately 20/250) preoperatively to 0.80 logMAR (approximately 20/125) at the final visit; however, the difference was not statistically significant (p = 0.13).Conclusion: The hinged ILM flap technique may represent a practical adjunctive maneuver to stabilize the retinal puncture site during subretinal injection for SMH.","PeriodicalId":53580,"journal":{"name":"Retinal Cases and Brief Reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148206955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Paracentral Acute Middle Maculopathy in a Patient with Atrial Myxoma. 心房黏液瘤患者的中枢性急性黄斑病变。

Retinal Cases and Brief Reports Pub Date : 2026-06-05 DOI: 10.1097/ICB.0000000000001942

Susan Ksiazek, Vasu Rishi, Dan Gavrila, Scott Bauer

引用次数: 0

The Problem of Connection: A Case of Ophthalmic Artery Occlusion Following Middle Meningeal Artery Embolization. 连接问题：脑膜中动脉栓塞后眼动脉闭塞1例。

Retinal Cases and Brief Reports Pub Date : 2026-06-04 DOI: 10.1097/ICB.0000000000001944

Camille Gavin, Joshua Van Swol, Benjamin Trinh, Kelly Mitchell

{"title":"The Problem of Connection: A Case of Ophthalmic Artery Occlusion Following Middle Meningeal Artery Embolization.","authors":"Camille Gavin, Joshua Van Swol, Benjamin Trinh, Kelly Mitchell","doi":"10.1097/ICB.0000000000001944","DOIUrl":"https://doi.org/10.1097/ICB.0000000000001944","url":null,"abstract":"Purpose: To describe a case of an iatrogenic ophthalmic artery occlusion following middle meningeal artery (MMA) embolization.Methods: Clinical data was collected through a retrospective review of the patient's medical records, imaging studies, and procedural reports. The patient was evaluated and managed according to standard clinical protocols. The case was documented in accordance with institutional guidelines for case reporting.Results: An 83-year-old woman developed right-eye vision loss following right MMA embolization for subdural hemorrhage. Imaging showed embolic material in the ophthalmic artery and ciliary branches. Exam revealed no light perception and fundus findings consistent with ophthalmic artery occlusion. Two weeks later, vision improved to hand motion, with embolic material visible in retinal arterioles and signs of an incomplete or partially recanalized ophthalmic artery occlusion.Conclusion: This case highlights a serious complication following MMA embolization and supports consideration of coiling as an alternative for chronic subdural hematomas. Although the overall incidence is low, vision loss from arterial occlusion during intracranial embolization procedures can be sudden, severe and permanent. It is therefore reasonable to consider developing both protocols and procedural techniques to further reduce the risk of post-embolization occlusions.","PeriodicalId":53580,"journal":{"name":"Retinal Cases and Brief Reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148159152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Bilateral Opposing Lens Dislocation and Retinal Detachment in LTBP2-Associated Weill-Marchesani Syndrome: Surgical Sequencing and Multidisciplinary Pediatric Management. ltbp2相关weil - marchesani综合征的双侧对晶状体脱位和视网膜脱离：外科测序和多学科儿科管理。

Retinal Cases and Brief Reports Pub Date : 2026-05-26 DOI: 10.1097/ICB.0000000000001941

Adriana P Perez Negron, Arnulfo Garza Reyes, Joaquin Sosa Lockward, David Borden, Charles Zhang, Catherin Negron, Audina M Berrocal

{"title":"Bilateral Opposing Lens Dislocation and Retinal Detachment in LTBP2-Associated Weill-Marchesani Syndrome: Surgical Sequencing and Multidisciplinary Pediatric Management.","authors":"Adriana P Perez Negron, Arnulfo Garza Reyes, Joaquin Sosa Lockward, David Borden, Charles Zhang, Catherin Negron, Audina M Berrocal","doi":"10.1097/ICB.0000000000001941","DOIUrl":"https://doi.org/10.1097/ICB.0000000000001941","url":null,"abstract":"Purpose: To report the presentation and surgical management of LTBP2-associated Weill-Marchesani syndrome with bilateral lens dislocation and unilateral rhegmatogenous retinal detachment.Methods: A detailed clinical and surgical case analysis was performed in an 8-year-old male with confirmed biallelic LTBP2 mutations. Ophthalmic examination, multimodal imaging, and intraoperative optical coherence tomography (iOCT) were utilized. The patient underwent single-session bilateral pars plana lensectomy and vitrectomy, with scleral buckle placement and silicone-oil tamponade in the eye with total retinal detachment. iOCT-guided viscoelastic dissection was employed to manage lenticulo-corneal adhesion in the fellow eye.Results: The right eye demonstrated a posteriorly dislocated lens with an associated open-funnel rhegmatogenous retinal detachment, while the left eye exhibited anterior lens dislocation with firm adherence to the corneal endothelium and an attached retina. Postoperatively, both retinas remained attached. Transient ocular hypertension was successfully managed medically. The cornea in the left eye-maintained clarity, developing a limited posterior stromal scar without endothelial decompensation. At four months, visual acuity improved to 20/60 in the right eye and 20/100 in the left.Conclusion: Severe LTBP2-associated Weill-Marchesani syndrome may require individualized bilateral surgical strategies. iOCT guidance and multidisciplinary care can support favorable anatomical and functional outcomes in complex pediatric cases.","PeriodicalId":53580,"journal":{"name":"Retinal Cases and Brief Reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148037498","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Utilization of Intracameral Viscoelastic Injection for the Management of Concurrent Choroidal and Retinal Detachment in a Glaucoma Patient. 眼内粘弹性注射治疗青光眼并发脉络膜和视网膜脱离1例。

Retinal Cases and Brief Reports Pub Date : 2026-05-26 DOI: 10.1097/ICB.0000000000001828

Rachel D Rothman, Jonathan E Rho, Charles R Blake, Jonathan K Hu

{"title":"Utilization of Intracameral Viscoelastic Injection for the Management of Concurrent Choroidal and Retinal Detachment in a Glaucoma Patient.","authors":"Rachel D Rothman, Jonathan E Rho, Charles R Blake, Jonathan K Hu","doi":"10.1097/ICB.0000000000001828","DOIUrl":"https://doi.org/10.1097/ICB.0000000000001828","url":null,"abstract":"Purpose: The purpose of this report is to document a technique involving anterior chamber viscoelastic injections to address a serous choroidal detachment in the setting of a concurrent rhegmatogenous retinal detachment to improve surgical conditions.Methods: A thorough chart review was performed on the patient in addition to a comprehensive literature review utilizing PubMed to gather current data on the treatment of combined choroidal and retinal detachments.Results: A 72-year-old male presented with advanced glaucoma and high intraocular pressure (IOP). The patient's elevated IOP was refractory to maximum topical medical management; consequently, he underwent non-valved glaucoma drainage device (GDD) surgery. His recovery was complicated by chronic hypotony which led to the development of a combined choroidal and retinal detachment. Our team injected sodium chondroitin and sodium hyaluronate in the anterior chamber of the eye, which successfully alleviated the serous choroidal detachment prior to pars plana vitrectomy (PPV). The patient did not require any further retinal interventions for the 2 years of follow-up. His IOP has remained normal in the high single digits on three glaucoma agents with the tube still tied off permanently with 6-0 nylon. His visual acuity returned to baseline (20/200) after 6 weeks.Conclusion: This case demonstrates that intracameral viscoelastic injections prior to PPV can be utilized as rescue therapy to treat serous choroidal detachment in the setting of a rhegmatogenous retinal detachment in patients with GDD surgery to improve surgical conditions prior to retinal detachment repair.","PeriodicalId":53580,"journal":{"name":"Retinal Cases and Brief Reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148037577","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Surgical Management of Severe Retinal Fibrosis and Regaining Vision following Suprachoroidal Hemorrhage in a Negative Light Perception Patient: A Case Report. 1例负光感患者脉络膜上出血后严重视网膜纤维化及视力恢复的手术治疗。

Retinal Cases and Brief Reports Pub Date : 2026-05-20 DOI: 10.1097/ICB.0000000000001939

Omer Othman Abdullah

{"title":"Surgical Management of Severe Retinal Fibrosis and Regaining Vision following Suprachoroidal Hemorrhage in a Negative Light Perception Patient: A Case Report.","authors":"Omer Othman Abdullah","doi":"10.1097/ICB.0000000000001939","DOIUrl":"https://doi.org/10.1097/ICB.0000000000001939","url":null,"abstract":"Purpose: To report a rare case of vision regained in an eye with no light perception (NLP) secondary to severe ocular trauma and suprachoroidal hemorrhage (SCH) following a syncopal fall on a sharp object.Methods: A 75-year-old one-eyed man presented with NLP vision and a funnel-shaped retinal detachment with residual slit remnants of SCH on B-scan ultrasonography. The patient was informed that the aim of the surgery was to prevent phthisis and preserve the eye's structure. Careful and meticulous dissection of the fused retinal tissue was performed, followed by a 360° retinectomy to achieve retinal flattening, and the procedure was concluded with silicone oil tamponade.Results: The retina was fully reattached intraoperatively. Visual acuity improved from NLP preoperatively to counting fingers at 1 meter one month after surgery. The globe remained formed, and the retinal reattachment and visual function remained stable on follow-up.Conclusion: Even eyes with NLP vision after severe trauma and SCH may regain ambulatory vision with advanced vitreoretinal approach. This case report underscores the importance of the surgeon's utmost skill and surgical expertise in restoring both the anatomical integrity and the functional rehabilitation.","PeriodicalId":53580,"journal":{"name":"Retinal Cases and Brief Reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147977260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Ring Melanoma: from Vitrectomy to Enucleation. 环形黑色素瘤：从玻璃体切除到眼球摘除。

Retinal Cases and Brief Reports Pub Date : 2026-05-19 DOI: 10.1097/ICB.0000000000001931

Deanna Ingrassia Miano, Miguel A Materin, Arpita Maniar, Thomas Cummings, Glenn J Jaffe

{"title":"Ring Melanoma: from Vitrectomy to Enucleation.","authors":"Deanna Ingrassia Miano, Miguel A Materin, Arpita Maniar, Thomas Cummings, Glenn J Jaffe","doi":"10.1097/ICB.0000000000001931","DOIUrl":"https://doi.org/10.1097/ICB.0000000000001931","url":null,"abstract":"Purpose: To report disease progression of ring melanoma.Methods: A comprehensive chart review was conducted.Results: A 75-year-old male presented with persistent floaters and reduced visual acuity in the right eye. On diagnostic and therapeutic vitrectomy, there were melanoma cells on cytopathology, but no visible intraocular mass. Systemic work-up was negative. Recurrence of floaters led to repeat vitrectomy which yielded similar findings. The patient's visual acuity decreased further, and neovascular glaucoma developed without evidence of intraocular mass. Thirteen months after initial presentation, imaging revealed ciliary body thickening and a large posterior mass. Enucleation confirmed ciliary body ring melanoma with diffuse iris involvement and malignant retinal invasion. The choroid was not involved.Conclusion: Ring melanoma is a rare disease process which can evade clinical examination and various imaging modalities. This case depicts the disease course of a ring melanoma from subclinical stages to robust ocular infiltration.","PeriodicalId":53580,"journal":{"name":"Retinal Cases and Brief Reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147977206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Recurrence of Choroidal Neovascularization in Ocular Histoplasmosis 50 Years After Photocoagulation. 光凝后50年眼组织浆菌病脉络膜新生血管的复发。

Retinal Cases and Brief Reports Pub Date : 2026-05-19 DOI: 10.1097/ICB.0000000000001932

Rishabh Gupta, Mathew MacCumber

引用次数: 0