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Giant pigment epithelial tear after scleral buckling for rhegmatogenous retinal detachment
Kana Tsuda1, Shuichi Yamamoto, Michitaka Sugahara
1From the *Department of Ophthalmology and Visual Science, Chiba University Graduate School of Medicine, Chiba, and the †Department of Ophthalmology, Toho University Sakura Hospital, Sakura, Japan.
Purpose:
To describe a patient with rhegmatogenous retinal detachment (RRD) who developed a giant tear of retinal pigment epithelium (RPE) after scleral buckling.
Patient:
A 64-year-old man with RRD underwent scleral buckling and cryoretinopexy on his right eye.
Results:
A #506 silicone sponge was placed on the exit of the three vortex vein to seal retinal tears. On the 3 postoperative day, a choroidal detachment appeared, and on the 10 postoperative day, a large RPE developed at the posterior edge of the choroidal detachment. One month later, the entire retina was completely attached without any treatment.
Conclusions:
Ophthalmic surgeons should be aware that an RPE tear can be associated with choroidal detachment after scleral buckling.
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