Cataract Surgery after Retinal Detachment Surgery with Arruga’s Suture: Case Report
A 56-year old female patient presented to our clinic with a complaint of low vision in her right eye. Twenty-two years earlier she had undergone a scleral buckling operation in her right eye because of retinal detachment. She indicated that vision in her right eye was good after the surgery but had...
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| Format: | Article |
| Language: | English |
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Galenos Yayinevi
2016-12-01
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| Series: | Türk Oftalmoloji Dergisi |
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| Online Access: | http://www.oftalmoloji.org/article_12569/Cataract-Surgery-After-Retinal-Detachment-Surgery-With-Arrugas-Suture-Case-Report |
| _version_ | 1797911953547460608 |
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| author | Erkan Ünsal Kadir Eltutar Osman Kızılay Belma Karini |
| author_facet | Erkan Ünsal Kadir Eltutar Osman Kızılay Belma Karini |
| author_sort | Erkan Ünsal |
| collection | DOAJ |
| description | A 56-year old female patient presented to our clinic with a complaint of low vision in her right eye. Twenty-two years earlier she had undergone a scleral buckling operation in her right eye because of retinal detachment. She indicated that vision in her right eye was good after the surgery but had recently been gradually declining. Best-corrected vision acuity was counting fingers at 1 meter in the right eye and 8/10 in the left eye. Anterior segment examination revealed stage 3 nuclear cataract in the right eye. Examination of the right eye was blurred and revealed an area of chorioretinal atrophy posterior to the equator, approximately 3 disc diameters in the peripapillary zone and about 2 disc diameters in the nasal papilla zone. Anteriorly of the equator there was an area of chorioretinal atrophy as well as a narrow, sharply demarcated, shiny 360⁰ suture with high buckling pressure, situated intraretinally but extending into the vitreous in some places. The structure was thought to be made of polyethylene. Around the suture there were retinal atrophic changes. After detailed explanation of the possible surgical complications and after obtaining informed consent, the right eye cataract was removed by phacoemulsification and a foldable intraocular lens was placed into the capsule. During the operation, we worked under low fluid pressure and as atraumatically as possible due to the possibility of intraocular pressure changes and the risk of the suture causing retinal and blood vessel tears or passing completely into the eye and causing intravitreal hemorrhage. A month after an uncomplicated surgery, the posterior segment examination demonstrated a reattached retina and the patient’s best corrected visual acuity was 6/10. |
| first_indexed | 2024-04-10T11:48:44Z |
| format | Article |
| id | doaj.art-c3a7315ea5b44bcf823149e3d7d4d8d8 |
| institution | Directory Open Access Journal |
| issn | 1300-0659 2147-2661 |
| language | English |
| last_indexed | 2024-04-10T11:48:44Z |
| publishDate | 2016-12-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | Türk Oftalmoloji Dergisi |
| spelling | doaj.art-c3a7315ea5b44bcf823149e3d7d4d8d82023-02-15T16:17:15ZengGalenos YayineviTürk Oftalmoloji Dergisi1300-06592147-26612016-12-0146629329510.4274/tjo.88864Cataract Surgery after Retinal Detachment Surgery with Arruga’s Suture: Case ReportErkan Ünsal0Kadir Eltutar1Osman Kızılay2Belma Karini3İstanbul Training and Research Hospital, Ophthalmology Clinic, İstanbul, Turkeyİstanbul Training and Research Hospital, Ophthalmology Clinic, İstanbul, TurkeyZeynep Kamil Women’s and Children’s Hospital Training and Research Hospital, Ophthalmology Clinic, İstanbul, Turkeyİstanbul Training and Research Hospital, Ophthalmology Clinic, İstanbul, TurkeyA 56-year old female patient presented to our clinic with a complaint of low vision in her right eye. Twenty-two years earlier she had undergone a scleral buckling operation in her right eye because of retinal detachment. She indicated that vision in her right eye was good after the surgery but had recently been gradually declining. Best-corrected vision acuity was counting fingers at 1 meter in the right eye and 8/10 in the left eye. Anterior segment examination revealed stage 3 nuclear cataract in the right eye. Examination of the right eye was blurred and revealed an area of chorioretinal atrophy posterior to the equator, approximately 3 disc diameters in the peripapillary zone and about 2 disc diameters in the nasal papilla zone. Anteriorly of the equator there was an area of chorioretinal atrophy as well as a narrow, sharply demarcated, shiny 360⁰ suture with high buckling pressure, situated intraretinally but extending into the vitreous in some places. The structure was thought to be made of polyethylene. Around the suture there were retinal atrophic changes. After detailed explanation of the possible surgical complications and after obtaining informed consent, the right eye cataract was removed by phacoemulsification and a foldable intraocular lens was placed into the capsule. During the operation, we worked under low fluid pressure and as atraumatically as possible due to the possibility of intraocular pressure changes and the risk of the suture causing retinal and blood vessel tears or passing completely into the eye and causing intravitreal hemorrhage. A month after an uncomplicated surgery, the posterior segment examination demonstrated a reattached retina and the patient’s best corrected visual acuity was 6/10.http://www.oftalmoloji.org/article_12569/Cataract-Surgery-After-Retinal-Detachment-Surgery-With-Arrugas-Suture-Case-ReportRetinal detachmentscleral bucklingArruga’s suture |
| spellingShingle | Erkan Ünsal Kadir Eltutar Osman Kızılay Belma Karini Cataract Surgery after Retinal Detachment Surgery with Arruga’s Suture: Case Report Türk Oftalmoloji Dergisi Retinal detachment scleral buckling Arruga’s suture |
| title | Cataract Surgery after Retinal Detachment Surgery with Arruga’s Suture: Case Report |
| title_full | Cataract Surgery after Retinal Detachment Surgery with Arruga’s Suture: Case Report |
| title_fullStr | Cataract Surgery after Retinal Detachment Surgery with Arruga’s Suture: Case Report |
| title_full_unstemmed | Cataract Surgery after Retinal Detachment Surgery with Arruga’s Suture: Case Report |
| title_short | Cataract Surgery after Retinal Detachment Surgery with Arruga’s Suture: Case Report |
| title_sort | cataract surgery after retinal detachment surgery with arruga s suture case report |
| topic | Retinal detachment scleral buckling Arruga’s suture |
| url | http://www.oftalmoloji.org/article_12569/Cataract-Surgery-After-Retinal-Detachment-Surgery-With-Arrugas-Suture-Case-Report |
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