Surgery for Combined Hamartoma of the Retina and Retinal Pigment Epithelium
There is no consensus on whether and when surgical treatment is indicated for combined hamartoma of the retina and retinal pigment epithelium (CHRRPE). We aim to discuss the benefits of surgical intervention and techniques that may improve the outcome. A 24-year-old man experienced progressive visua...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Karger Publishers
2021-09-01
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| Series: | Case Reports in Ophthalmology |
| Subjects: | |
| Online Access: | https://www.karger.com/Article/FullText/518013 |
| _version_ | 1819023030261645312 |
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| author | Charlotte Maria van der Sommen Saskia Helena Margaretha van Romunde Koen van Overdam |
| author_facet | Charlotte Maria van der Sommen Saskia Helena Margaretha van Romunde Koen van Overdam |
| author_sort | Charlotte Maria van der Sommen |
| collection | DOAJ |
| description | There is no consensus on whether and when surgical treatment is indicated for combined hamartoma of the retina and retinal pigment epithelium (CHRRPE). We aim to discuss the benefits of surgical intervention and techniques that may improve the outcome. A 24-year-old man experienced progressive visual loss for 6 months in his left eye due to CHRRPE. At presentation, visual acuity was 1.3 LogMAR and fundoscopy revealed extensive tractional pre- and epiretinal membranes, subretinal exudation, and a vasoproliferative tumor in the inferior periphery. A complete vitrectomy was performed, while paying special attention to vitreous shaving at the vitreous base and removal of vitreoschisis-induced vitreous cortex remnants (VCR) from the retinal surface posterior to the vitreous base. Tractional membranes and internal limiting membrane were peeled, and the vasoproliferative tumor was excised. Silicone oil tamponade was removed 11 weeks after surgery. No intra- or postoperative complications occurred. Visual acuity improved to 0.8 LogMAR and remained stable for 48-month follow-up. Vitreoretinal surgery can prevent complications that occur with CHRRPE. In addition, visual function may improve even if the initial visual acuity is low. Timely and complete vitrectomy with extensive membranectomy and detection and removal of VCR is recommended to avoid complications in challenging CHRRPE. |
| first_indexed | 2024-12-21T04:32:24Z |
| format | Article |
| id | doaj.art-a4d22b2bef1b465ca730a818ab3126e8 |
| institution | Directory Open Access Journal |
| issn | 1663-2699 |
| language | English |
| last_indexed | 2024-12-21T04:32:24Z |
| publishDate | 2021-09-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Case Reports in Ophthalmology |
| spelling | doaj.art-a4d22b2bef1b465ca730a818ab3126e82022-12-21T19:15:55ZengKarger PublishersCase Reports in Ophthalmology1663-26992021-09-0112377878310.1159/000518013518013Surgery for Combined Hamartoma of the Retina and Retinal Pigment EpitheliumCharlotte Maria van der SommenSaskia Helena Margaretha van RomundeKoen van OverdamThere is no consensus on whether and when surgical treatment is indicated for combined hamartoma of the retina and retinal pigment epithelium (CHRRPE). We aim to discuss the benefits of surgical intervention and techniques that may improve the outcome. A 24-year-old man experienced progressive visual loss for 6 months in his left eye due to CHRRPE. At presentation, visual acuity was 1.3 LogMAR and fundoscopy revealed extensive tractional pre- and epiretinal membranes, subretinal exudation, and a vasoproliferative tumor in the inferior periphery. A complete vitrectomy was performed, while paying special attention to vitreous shaving at the vitreous base and removal of vitreoschisis-induced vitreous cortex remnants (VCR) from the retinal surface posterior to the vitreous base. Tractional membranes and internal limiting membrane were peeled, and the vasoproliferative tumor was excised. Silicone oil tamponade was removed 11 weeks after surgery. No intra- or postoperative complications occurred. Visual acuity improved to 0.8 LogMAR and remained stable for 48-month follow-up. Vitreoretinal surgery can prevent complications that occur with CHRRPE. In addition, visual function may improve even if the initial visual acuity is low. Timely and complete vitrectomy with extensive membranectomy and detection and removal of VCR is recommended to avoid complications in challenging CHRRPE.https://www.karger.com/Article/FullText/518013combined hamartoma of the retina and retinal pigment epitheliumchrrpevasoproliferative tumorvitreoschisis-induced vitreous cortex remnantsvcrvitreoretinal surgery |
| spellingShingle | Charlotte Maria van der Sommen Saskia Helena Margaretha van Romunde Koen van Overdam Surgery for Combined Hamartoma of the Retina and Retinal Pigment Epithelium Case Reports in Ophthalmology combined hamartoma of the retina and retinal pigment epithelium chrrpe vasoproliferative tumor vitreoschisis-induced vitreous cortex remnants vcr vitreoretinal surgery |
| title | Surgery for Combined Hamartoma of the Retina and Retinal Pigment Epithelium |
| title_full | Surgery for Combined Hamartoma of the Retina and Retinal Pigment Epithelium |
| title_fullStr | Surgery for Combined Hamartoma of the Retina and Retinal Pigment Epithelium |
| title_full_unstemmed | Surgery for Combined Hamartoma of the Retina and Retinal Pigment Epithelium |
| title_short | Surgery for Combined Hamartoma of the Retina and Retinal Pigment Epithelium |
| title_sort | surgery for combined hamartoma of the retina and retinal pigment epithelium |
| topic | combined hamartoma of the retina and retinal pigment epithelium chrrpe vasoproliferative tumor vitreoschisis-induced vitreous cortex remnants vcr vitreoretinal surgery |
| url | https://www.karger.com/Article/FullText/518013 |
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