Ultrawide-Field Optical Coherence Tomography in Transvitreal and Subretinal Fibrinoid Syndrome: A Case Report
We report a case of fibrinoid reaction after diabetic vitrectomy surgery. Our case report describes a male patient with severe fibrinoid reaction with both intravitreal fibrin bands and subretinal fibrin and fluid following vitrectomy for diabetic retinopathy. He was managed initially with posterior...
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| Format: | Article |
| Language: | English |
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Karger Publishers
2023-04-01
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| Series: | Case Reports in Ophthalmology |
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| Online Access: | https://www.karger.com/Article/FullText/529912 |
| _version_ | 1797828688034660352 |
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| author | Alan Yun-Hsuan Hsu San-Ni Chen |
| author_facet | Alan Yun-Hsuan Hsu San-Ni Chen |
| author_sort | Alan Yun-Hsuan Hsu |
| collection | DOAJ |
| description | We report a case of fibrinoid reaction after diabetic vitrectomy surgery. Our case report describes a male patient with severe fibrinoid reaction with both intravitreal fibrin bands and subretinal fibrin and fluid following vitrectomy for diabetic retinopathy. He was managed initially with posterior subtenon and suprachoroidal injection of triamcinolone as well as intravitreal injection of tissue plasminogen activator (TPA). Fluid-air exchange and air-fluid exchange were also performed to remove the fibrin degradation product. 1 millimeter of air tamponade was placed in the vitreous cavity to displace the remaining subretinal fibrin. During this patient’s follow-up, the patient’s OCT including ultrawide-field OCT showed transvitreal fibrin bands, subretinal fibrin, as well as subretinal fluid in the right eye. The degradation of intravitreal fibrin bands as well as decrease in subretinal fluid were noted 2 days after intravitreal TPA and suprachoroidal injection of triamcinolone acetonide. The subretinal fibrin was partially reabsorbed and displaced after repeated injection of TPA and air tamponade placement 1 week later. Subsequent follow-up showed complete resolution of the subretinal fibrin and subretinal fluid as well as improved visual acuity. In summary, we describe a case of fibrinoid reaction after vitrectomy for diabetic retinopathy which was successfully treated. Wide-field OCT may also be used to assist in the recognition of this phenomenon. |
| first_indexed | 2024-04-09T13:08:22Z |
| format | Article |
| id | doaj.art-bc67bebb989f44c8942ab7c6ba0446d2 |
| institution | Directory Open Access Journal |
| issn | 1663-2699 |
| language | English |
| last_indexed | 2024-04-09T13:08:22Z |
| publishDate | 2023-04-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Case Reports in Ophthalmology |
| spelling | doaj.art-bc67bebb989f44c8942ab7c6ba0446d22023-05-12T12:24:18ZengKarger PublishersCase Reports in Ophthalmology1663-26992023-04-0114114715210.1159/000529912529912Ultrawide-Field Optical Coherence Tomography in Transvitreal and Subretinal Fibrinoid Syndrome: A Case ReportAlan Yun-Hsuan Hsu0https://orcid.org/0000-0003-2125-9495San-Ni Chen1https://orcid.org/0000-0002-0871-381XDepartment of Ophthalmology, China Medical University Hospital, China Medical University, Taichung, TaiwanDepartment of Ophthalmology, China Medical University Hospital, China Medical University, Taichung, TaiwanWe report a case of fibrinoid reaction after diabetic vitrectomy surgery. Our case report describes a male patient with severe fibrinoid reaction with both intravitreal fibrin bands and subretinal fibrin and fluid following vitrectomy for diabetic retinopathy. He was managed initially with posterior subtenon and suprachoroidal injection of triamcinolone as well as intravitreal injection of tissue plasminogen activator (TPA). Fluid-air exchange and air-fluid exchange were also performed to remove the fibrin degradation product. 1 millimeter of air tamponade was placed in the vitreous cavity to displace the remaining subretinal fibrin. During this patient’s follow-up, the patient’s OCT including ultrawide-field OCT showed transvitreal fibrin bands, subretinal fibrin, as well as subretinal fluid in the right eye. The degradation of intravitreal fibrin bands as well as decrease in subretinal fluid were noted 2 days after intravitreal TPA and suprachoroidal injection of triamcinolone acetonide. The subretinal fibrin was partially reabsorbed and displaced after repeated injection of TPA and air tamponade placement 1 week later. Subsequent follow-up showed complete resolution of the subretinal fibrin and subretinal fluid as well as improved visual acuity. In summary, we describe a case of fibrinoid reaction after vitrectomy for diabetic retinopathy which was successfully treated. Wide-field OCT may also be used to assist in the recognition of this phenomenon.https://www.karger.com/Article/FullText/529912fibrinoidoptical coherence tomographyultrawide fieldfibrincase report |
| spellingShingle | Alan Yun-Hsuan Hsu San-Ni Chen Ultrawide-Field Optical Coherence Tomography in Transvitreal and Subretinal Fibrinoid Syndrome: A Case Report Case Reports in Ophthalmology fibrinoid optical coherence tomography ultrawide field fibrin case report |
| title | Ultrawide-Field Optical Coherence Tomography in Transvitreal and Subretinal Fibrinoid Syndrome: A Case Report |
| title_full | Ultrawide-Field Optical Coherence Tomography in Transvitreal and Subretinal Fibrinoid Syndrome: A Case Report |
| title_fullStr | Ultrawide-Field Optical Coherence Tomography in Transvitreal and Subretinal Fibrinoid Syndrome: A Case Report |
| title_full_unstemmed | Ultrawide-Field Optical Coherence Tomography in Transvitreal and Subretinal Fibrinoid Syndrome: A Case Report |
| title_short | Ultrawide-Field Optical Coherence Tomography in Transvitreal and Subretinal Fibrinoid Syndrome: A Case Report |
| title_sort | ultrawide field optical coherence tomography in transvitreal and subretinal fibrinoid syndrome a case report |
| topic | fibrinoid optical coherence tomography ultrawide field fibrin case report |
| url | https://www.karger.com/Article/FullText/529912 |
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