title: Pars plana vitrectomy for rhegmatogenous retinal detachment associated with benign retinal tumors.
abstract: Two patients with known histories of benign retinal tumors presented with rhegmatogenous retinal detachments (RRD) in the same eye. One had a retinocytoma and presenting vision of 20/50, while the other had congenital hypertrophy of the retinal pigment epithelium and vision of 20/30. Both had subretinal fluid accumulation in a configuration consistent with a retinal break near the tumor; however, no breaks were detected on examination or intraoperatively. Pars plana vitrectomy (PPV), drainage retinotomy, fluid-air exchange, barrier laser around the tumor, and gas tamponade successfully reattached the retina in both cases. After 12 and 6 months of follow-up, respectively, final vision was 20/25 and the retina remained attached. RRD may be associated with benign retinal tumors presumably with microscopic breaks at the margins. In these cases, PPV, drainage retinotomy, fluid-air exchange, endolaser around the tumor, and gas tamponade can be effective for treatment.
authors.affiliation: Department of Ophthalmology, University of North Carolina, Chapel Hill, North Carolina, USA.
authors.forename: Emil Anthony T
authors.initials: EA
authors.lastname: Say
authors.forename: Pooja D
authors.initials: PD
authors.lastname: Jani
authors.forename: J Niklas
authors.initials: JN
authors.lastname: Ulrich
mesh_terms: D000328:Adult; D002924:Ciliary Body / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D012163:Retinal Detachment / Q000601:surgery*; D019572:Retinal Neoplasms / Q000150:complications*; D016896:Treatment Outcome; D014821:Vitrectomy / Q000379:methods*