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Eur J Ophthalmol. 2012 May-Jun;22(3):506-8. doi: 10.5301/ejo.5000034.

Intraretinal cyst secondary to longstanding retinal detachment.

Author information

1
Centro de OftalmologĂ­a Barraquer, Barcelona, Spain. paulaverdaguer@gmail.com

Abstract

PURPOSE:

To describe the diagnosis and management of an intraretinal cyst.

CASE REPORT:

A 34-year-old man with a history of retinal detachment presented sudden loss of vision in the left eye. Visual acuity was hand movement. Examination revealed hematic vitreous haze and ultrasound showed a rounded mobile object in the vitreous cavity.

RESULTS:

After differential diagnosis ruled out cysticercosis, pars plana vitrectomy revealed a neovascularized intraretinal macrocyst attached to a posterior flap of a 13-year-old retinal tear. Retinotomy and retinectomy were performed, removing this cyst located in the upper retina together with a portion of detached retina. At 1 year, the retina had adapted and the vitreous cavity was clear. Final visual acuity was 18/20.

CONCLUSIONS:

Intraretinal cysts are usually asymptomatic and associated with long-standing retinal detachment, as seen in our clinical case. Periodic fundus examination is essential for their detection. Surgical treatment of the underlying condition usually leads to complete resolution.

PMID:
21928257
DOI:
10.5301/ejo.5000034
[Indexed for MEDLINE]

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