Repair of Retinal Detachment

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Repair of Retinal Detachment Due to Morning
Glory Syndrome With 6-Step Procedure
Yoshihide Nakai. MD Tsu, Japan
Financial Interest is none.
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A 51-year-old female. She was told that she has
morning glory syndrome in the right eye and
amblyopia in the right eye, and has made
outpatient visits to a neighborhood eye clinic.
Right 20/50 (N. C) Left 20/50 (20/20 -2.25D)
Fundus Right Morning glory syndromeRetinal
detachment Left Normal MRI examination No
abnormalities in the head and orbita.
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Fluorescein fundus examination angiography
Excess fluorescence in the optic
papilla/choroidal atrophic area. Leakage of
fluorescent dye (-)
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Optic disc OCT
Retina OCT
Right eye Retinal detachment() optic disc
marginal tear (-)
Right eye Funnel-shaped
papillary depression
Brain MRI
No abnormalities in the brain, optic nerve, and
orbita.
Left eye Normal
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The 1st operation (equatorial encircling
buckling/drainage)
surgery
after
before
6
The 2nd operation (9 days after the 1st), before
and after injection of SF6 gas into the vitreous
body
injection
before injection of SF6 gas
after injection of SF6 gas
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The 3rd operation (30 days after the 1st),
before and after cataract IOL vitreous
surgery
surgery
after
before
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The 4th operation (77 days after the 1st)
injection
before injection of SF6 gas
after injection of SF6 gas
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The 5th operation (98 days after the 1st)
surgery
before
after
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The 6th operation (346 days after the 1st),
before and after vitreous surgery
surgery
Three years after that the visual acuity in the
right 20/50 (20/20X -2.75D)
after
before
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For three years after the 6th operation until
now, retinal detachment (-)
Present visual acuity Right 20/50 (20/20
-2.75D) OCT Retinal detachment (-)
Left Normal
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summary Causes (although there is no unified
view) Leakage from an abnormal blood vessel
Traction Retinal Detachment Tear in the area
of funnel-shaped papillary depression Subretin
al fluid derived from cerebrospinal fluid
Therapy(not estableshed) Retinal detachment
reaching the macular region is refractory, but
it is important for both the doctor and patient
to proceed with treatment without giving up.