Case report: An intraretinal macrocyst with crystalline content and retinal detachment

IntroductionAn intraretinal macrocyst is a cavity located in the outer plexiform layer of the retina. It is commonly filled with liquid or blood. To date, few case reports of intraretinal macrocysts with crystalline content and retinal detachment have been published.Case presentationA 44-year-old wo...

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Main Authors: Chang Cai, Jialin Zhou, Qiuyu Wang, Weihou Li, Danning Liu
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-12-01
Series:Frontiers in Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2022.1051181/full
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author Chang Cai
Jialin Zhou
Qiuyu Wang
Weihou Li
Danning Liu
author_facet Chang Cai
Jialin Zhou
Qiuyu Wang
Weihou Li
Danning Liu
author_sort Chang Cai
collection DOAJ
description IntroductionAn intraretinal macrocyst is a cavity located in the outer plexiform layer of the retina. It is commonly filled with liquid or blood. To date, few case reports of intraretinal macrocysts with crystalline content and retinal detachment have been published.Case presentationA 44-year-old woman with no history of other diseases complained of decreased vision in her right eye that had persisted for 20 days. The best corrected visual acuity of the right eye was hand motion. Comprehensive ophthalmic examinations were performed, including a vision test, slit lamp fundus examination, ocular B-scan ultrasound, and orbital magnetic resonance imaging. We performed vitrectomy and retinotomy to sufficiently remove the macrocyst and relieve retinal traction. We then reattached the retina and filled it with silicone oil. During the surgery, we found that the cyst had crystalline content, which has not been previously reported, to the best of our knowledge. Finally, the pathological results confirmed a final diagnosis of intraretinal macrocyst. Six months later, we performed a second operation to remove the silicone oil and implant an intraocular lens. After both surgeries, the best corrected visual acuity of the patient's right eye was restored to 20/200, and the retina had repositioned.ConclusionIntraretinal macrocysts are very rare. Both orbital magnetic resonance imaging and ocular B-scan ultrasound are essential for their diagnosis. Our results indicated that vitrectomy was the best way to remove the cyst and reattach the retina.
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spelling doaj.art-75df207b271a4c4a9f190c2a97834d9b2022-12-22T04:23:06ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2022-12-01910.3389/fmed.2022.10511811051181Case report: An intraretinal macrocyst with crystalline content and retinal detachmentChang CaiJialin ZhouQiuyu WangWeihou LiDanning LiuIntroductionAn intraretinal macrocyst is a cavity located in the outer plexiform layer of the retina. It is commonly filled with liquid or blood. To date, few case reports of intraretinal macrocysts with crystalline content and retinal detachment have been published.Case presentationA 44-year-old woman with no history of other diseases complained of decreased vision in her right eye that had persisted for 20 days. The best corrected visual acuity of the right eye was hand motion. Comprehensive ophthalmic examinations were performed, including a vision test, slit lamp fundus examination, ocular B-scan ultrasound, and orbital magnetic resonance imaging. We performed vitrectomy and retinotomy to sufficiently remove the macrocyst and relieve retinal traction. We then reattached the retina and filled it with silicone oil. During the surgery, we found that the cyst had crystalline content, which has not been previously reported, to the best of our knowledge. Finally, the pathological results confirmed a final diagnosis of intraretinal macrocyst. Six months later, we performed a second operation to remove the silicone oil and implant an intraocular lens. After both surgeries, the best corrected visual acuity of the patient's right eye was restored to 20/200, and the retina had repositioned.ConclusionIntraretinal macrocysts are very rare. Both orbital magnetic resonance imaging and ocular B-scan ultrasound are essential for their diagnosis. Our results indicated that vitrectomy was the best way to remove the cyst and reattach the retina.https://www.frontiersin.org/articles/10.3389/fmed.2022.1051181/fullB-scan ultrasonographycase reportcrystalline contentsintraretinal macrocystvitrectomy
spellingShingle Chang Cai
Jialin Zhou
Qiuyu Wang
Weihou Li
Danning Liu
Case report: An intraretinal macrocyst with crystalline content and retinal detachment
Frontiers in Medicine
B-scan ultrasonography
case report
crystalline contents
intraretinal macrocyst
vitrectomy
title Case report: An intraretinal macrocyst with crystalline content and retinal detachment
title_full Case report: An intraretinal macrocyst with crystalline content and retinal detachment
title_fullStr Case report: An intraretinal macrocyst with crystalline content and retinal detachment
title_full_unstemmed Case report: An intraretinal macrocyst with crystalline content and retinal detachment
title_short Case report: An intraretinal macrocyst with crystalline content and retinal detachment
title_sort case report an intraretinal macrocyst with crystalline content and retinal detachment
topic B-scan ultrasonography
case report
crystalline contents
intraretinal macrocyst
vitrectomy
url https://www.frontiersin.org/articles/10.3389/fmed.2022.1051181/full
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AT qiuyuwang casereportanintraretinalmacrocystwithcrystallinecontentandretinaldetachment
AT weihouli casereportanintraretinalmacrocystwithcrystallinecontentandretinaldetachment
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