Autologous Neurosensory Retinal Transplant to Treat Refractory Serous Retinal Detachment Secondary to Optic Disc Coloboma

Document Type

Article

Publication Date

9-1-2022

Publication Title

Retinal Cases & Brief Reports

Abstract

PURPOSE: To describe a novel surgical technique to treat refractory serous retinal detachment in a patient with an optic disc coloboma.

METHODS: Case report.

RESULTS: A 32-year-old male patient with an optic disc coloboma in his right eye was referred for recurrent retinoschisis and serous macular detachment despite multiple vitrectomies. Previous surgical procedures included peeling of internal limiting membrane and juxtapapillary laser as well as different tamponade agents such as sulfur hexafluoride gas, standard silicone oil and heavy silicone oil. Our first approach to close the cavity using autologous platelet concentrate and gas tamponade was also unsuccessful with early recurrence of the submacular fluid. In a second attempt we used an autologous neurosensory retinal transplant to cover the optic disc cavity. At seventeen months follow-up, the macula was still attached. As a postoperative complication, the patient developed high intraocular pressure, for which laser cycloablation eventually was necessary.

CONCLUSION: Autologous neurosensory retinal transplant may be a reasonable treatment option for patients with recurrent optic disc cavity associated maculopathy.

Volume

16

Issue

5

First Page

606

Last Page

609

DOI

10.1097/ICB.0000000000001031

ISSN

1937-1578

PubMed ID

32568957

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