Persistent serous retinal detachment after radial optic neurotomy.
We report the case of a patient presenting with serous retinal detachment following radial optic neurotomy for central retinal vein occlusion. Initially, the retinal detachment was successfully treated by a second vitrectomy and laser coagulation. After reabsorption of the gas tamponade, a recurrence of the retinal detachment was seen with no detectable retinal break. Although other mechanisms should be taken into account, this case indicates that it is possible to create a fistula between the subarachnoid and subretinal space. We conclude from this observation that special attention should be paid to the depth of the radial incision into the optic nerve head.
Strauss
Rupert W
RW
Priglinger
Siegfried G
SG
Alge
Claudia S
CS
Grueterich
Martin
M
Haritoglou
Christos
C
D000368:Aged; D019299:Decompression, Surgical / Q000009:adverse effects*; D005260:Female; D006801:Humans; D013508:Ophthalmologic Surgical Procedures / Q000009:adverse effects*; D009900:Optic Nerve / Q000601:surgery*; D012163:Retinal Detachment / Q000209:etiology*; D012170:Retinal Vein Occlusion / Q000601:surgery*; D044967:Serum; D014821:Vitrectomy