Retinal cases & brief reports · 2011
Fibrin sealant in the treatment of retinal detachment in morning glory syndrome.
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Saab Marc G, Cordahi Ghassan P, Rezende Flavio A
Аннотация
PURPOSE: To report the usage of fibrin sealant in the treatment of retinal detachment in morning glory syndrome.
METHODS: A case report of an 8-year-old boy with a recent, macula-off, inferior, bullous retinal detachment associated to his morning glory syndrome that was first treated by a pneumatic retinopexy. The following day, his examination revealed a total retinal detachment and subretinal gas. The patient underwent a 25-gauge pars plana vitrectomy, incomplete peeling of the glial tuft, 360° laser photocoagulation around the peripapillary staphyloma, 20% perfluoropropane endotamponade, and fibrin sealant injection to temporarily plug the slitlike retinal break visualized on the inferior border of the peripapillary staphyloma.
RESULTS: Complete reattachment of the retina persisted after 6 months of follow-up with slight improvement in visual acuity noted by the patient.
CONCLUSION: The authors believe that the usage of fibrin sealant seems to be a useful alternative in cases of retinal detachment related to morning glory syndrome with deep posterior peripapillary staphyloma, especially when persistent residual traction is suspected.
METHODS: A case report of an 8-year-old boy with a recent, macula-off, inferior, bullous retinal detachment associated to his morning glory syndrome that was first treated by a pneumatic retinopexy. The following day, his examination revealed a total retinal detachment and subretinal gas. The patient underwent a 25-gauge pars plana vitrectomy, incomplete peeling of the glial tuft, 360° laser photocoagulation around the peripapillary staphyloma, 20% perfluoropropane endotamponade, and fibrin sealant injection to temporarily plug the slitlike retinal break visualized on the inferior border of the peripapillary staphyloma.
RESULTS: Complete reattachment of the retina persisted after 6 months of follow-up with slight improvement in visual acuity noted by the patient.
CONCLUSION: The authors believe that the usage of fibrin sealant seems to be a useful alternative in cases of retinal detachment related to morning glory syndrome with deep posterior peripapillary staphyloma, especially when persistent residual traction is suspected.