Double peeling and endolaser ablation for retinal detachment in von Hippel-Lindau disease

Purpose: To describe a successful surgical approach to macula-off retinal detachment in von Hippel-Lindau disease. Observations: A 28-year-old male with a history of von Hippel-Lindau disease presented to us with significant worsening of vision in his single functional eye after undergoing a cryothe...

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Main Authors: Felipe Mallmann, Marcelo Krieger Maestri
Format: Article
Language:English
Published: Elsevier 2022-12-01
Series:American Journal of Ophthalmology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2451993622004741
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author Felipe Mallmann
Marcelo Krieger Maestri
author_facet Felipe Mallmann
Marcelo Krieger Maestri
author_sort Felipe Mallmann
collection DOAJ
description Purpose: To describe a successful surgical approach to macula-off retinal detachment in von Hippel-Lindau disease. Observations: A 28-year-old male with a history of von Hippel-Lindau disease presented to us with significant worsening of vision in his single functional eye after undergoing a cryotherapy and laser session for multiple retinal capillary hemangioblastomas. Given a tractional and exudative retinal detachment involving macula, we performed a vitrectomy, epiretinal membrane peeling, internal limiting membrane peeling, endophotocoagulation of all hemangioblastomas, and fluid-air exchange. Over 30 days, there was total resolution of retinal detachment and improvement of his vision. At 13-month follow-up, the patient exhibited anatomical and functional stability. Conclusions and Importance: Double peeling and endolaser ablation may be an alternative treatment approach for patients with tractional and exudative retinal detachment in von-Hippel-Lindau disease.
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spelling doaj.art-2cc4068f8b7b4b7da52b9bf63d13d84c2022-12-22T03:48:39ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362022-12-0128101728Double peeling and endolaser ablation for retinal detachment in von Hippel-Lindau diseaseFelipe Mallmann0Marcelo Krieger Maestri1Retina Service, Ophthalmology Unit, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, Rio Grande do Sul, Brazil; Corresponding author Hospital de Clínicas de Porto Alegre, Rua Ramiro Barcelos, 2350, 90035903, Rio Grande do Sul, Brazil.Ocular Oncology Service, Ophthalmology Unit, HCPA, Porto Alegre, Rio Grande do Sul, Brazil; Department of Ophthalmology and Otorhinolaryngology, School of Medicine, Universidade Federal do Rio Grande do Sul, BrazilPurpose: To describe a successful surgical approach to macula-off retinal detachment in von Hippel-Lindau disease. Observations: A 28-year-old male with a history of von Hippel-Lindau disease presented to us with significant worsening of vision in his single functional eye after undergoing a cryotherapy and laser session for multiple retinal capillary hemangioblastomas. Given a tractional and exudative retinal detachment involving macula, we performed a vitrectomy, epiretinal membrane peeling, internal limiting membrane peeling, endophotocoagulation of all hemangioblastomas, and fluid-air exchange. Over 30 days, there was total resolution of retinal detachment and improvement of his vision. At 13-month follow-up, the patient exhibited anatomical and functional stability. Conclusions and Importance: Double peeling and endolaser ablation may be an alternative treatment approach for patients with tractional and exudative retinal detachment in von-Hippel-Lindau disease.http://www.sciencedirect.com/science/article/pii/S2451993622004741Endolaser ablationEpiretinal membrane peelingInternal limiting membrane peelingRetinal hemangioblastomaTractional maculopathyvon Hippel-Lindau disease
spellingShingle Felipe Mallmann
Marcelo Krieger Maestri
Double peeling and endolaser ablation for retinal detachment in von Hippel-Lindau disease
American Journal of Ophthalmology Case Reports
Endolaser ablation
Epiretinal membrane peeling
Internal limiting membrane peeling
Retinal hemangioblastoma
Tractional maculopathy
von Hippel-Lindau disease
title Double peeling and endolaser ablation for retinal detachment in von Hippel-Lindau disease
title_full Double peeling and endolaser ablation for retinal detachment in von Hippel-Lindau disease
title_fullStr Double peeling and endolaser ablation for retinal detachment in von Hippel-Lindau disease
title_full_unstemmed Double peeling and endolaser ablation for retinal detachment in von Hippel-Lindau disease
title_short Double peeling and endolaser ablation for retinal detachment in von Hippel-Lindau disease
title_sort double peeling and endolaser ablation for retinal detachment in von hippel lindau disease
topic Endolaser ablation
Epiretinal membrane peeling
Internal limiting membrane peeling
Retinal hemangioblastoma
Tractional maculopathy
von Hippel-Lindau disease
url http://www.sciencedirect.com/science/article/pii/S2451993622004741
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