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Diabetic Retinopathy01:27

Diabetic Retinopathy

DefinitionDiabetic retinopathy is a microvascular complication of diabetes affecting the retinal blood vessels.Risk FactorsDiabetic retinopathy is present in almost all individuals with type 1 diabetes and more than 60% of those with type 2 diabetes after two decades of disease.The risk increases with poor glycemic control, hypertension, dyslipidemia, smoking, pregnancy, and puberty.Although cataracts and glaucoma are also more frequent in people with diabetes, retinopathy remains the leading...

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Retinal Detachment Model in Rodents by Subretinal Injection of Sodium Hyaluronate
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[Delayed subretinal fluid absorption after rhegmatogenous retinal detachment].

M N Feraoun1, C Dot, A Lecorre

  • 1Service d'ophtalmologie, hôpital d'instruction des armées Legouest, 27, avenue de Plantières, 57998 Metz Armées, France. myriamferaoun@gmail.com

Journal Francais D'Ophtalmologie
|March 19, 2011
PubMed
Summary

Persistent subretinal fluid after retinal detachment surgery can delay visual recovery. Optical coherence tomography (OCT) aids in diagnosing and monitoring this condition, even when fluid is not visible on standard examination.

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Area of Science:

  • Ophthalmology
  • Retinal Surgery
  • Medical Imaging

Background:

  • Persistent subretinal foveal fluid can impede functional recovery post-retinal detachment surgery.
  • Diagnosis often requires macular optical coherence tomography (OCT) due to limitations of ophthalmoscopy.

Observation:

  • A case study details a 25-year-old patient with 16-month persistent subretinal foveal fluid after retinal detachment surgery.
  • Initial treatment with scleral buckling failed, necessitating vitrectomy; peripheral fluid resolved, but subfoveal fluid persisted.
  • Macular OCT revealed subclinical subfoveal fluid, leading to delayed reattachment despite successful surgery.

Findings:

  • Infraclinical subfoveal fluid can cause delayed functional recovery in retinal detachment patients.
  • The case demonstrated an unusually long resorption time of 16 months for macular subretinal fluid.
  • Despite the delay, the patient achieved excellent final visual recovery.

Implications:

  • Macular OCT is crucial for early diagnosis and precise follow-up of persistent subfoveal fluid.
  • The findings suggest a potentially good tolerance of chronic macular subfoveal fluid, warranting further investigation.
  • Understanding these dynamics can optimize surgical and post-operative management strategies for retinal detachment.