[Total rhegmatogenous retinal detachment - late postoperative complication].

Area of Science:

• Ophthalmology
• Retinal Surgery
• Vascular Retinal Diseases

Background:

• Central retinal vein thrombosis (CRVT) can lead to complications like organized hemoftalmus.
• Vitrectomy is a surgical intervention for severe ocular conditions, including CRVT complications.
• Macular holes can occur iatrogenically or as a complication following retinal surgery.

Observation:

• A patient underwent total vitrectomy for organized hemoftalmus secondary to CRVT.
• Five days post-surgery, a macular hole was identified and treated with internal indentation and gas tamponade.
• Postoperative recovery was initially favorable.

Findings:

• Two months after the initial surgery and macular hole repair, the patient presented with a quasi-total rhegmatogenous retinal detachment.
• The development of retinal detachment in this context suggests potential underlying factors or surgical complications.
• The case highlights the complex sequelae that can arise after complex retinal procedures.

Implications:

• Understanding the etiology of retinal detachment post-macular hole surgery is crucial for patient management.
• Identifying factors influencing successful posterior pole surgery can improve surgical outcomes.
• This case underscores the need for vigilant monitoring after interventions for CRVT and related complications.