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Rhegmatogenous retinal detachment with a giant tear located in the intermediate periphery: Two case reports.

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Retinal detachment (RD) with giant tears in the intermediate periphery can occur in large eyeballs. Vitreous surgery effectively treated these cases, but close follow-up is crucial for the fellow eye.

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Area of Science:

  • Ophthalmology
  • Retinal Surgery
  • Vitreoretinal Diseases

Background:

  • Presents two cases of retinal detachment (RD) involving giant tears in the intermediate fundus periphery.
  • Investigates the clinical characteristics associated with this specific presentation of RD.

Observation:

  • Case 1: 63-year-old male with metamorphopsia and decreased visual acuity (VA), diagnosed with a giant tear at the margin of intermediate peripheral lattice degeneration.
  • Case 2: 54-year-old male with decreased VA, diagnosed with vitreous hemorrhage and an upper intermediate peripheral giant tear.
  • Both cases involved large, spherical eyeballs with flat corneal curvature, resulting in refraction near emmetropia.

Findings:

  • Successful reattachment achieved in both cases through vitrectomies.
  • Postoperative outcomes were favorable with no complications.
  • Intermediate peripheral giant tears can occur in eyes with long axial length and large spherical dimensions.

Implications:

  • Vitreous surgery is an effective treatment for retinal detachment with intermediate peripheral giant tears in large eyeballs.
  • High risk of RD in the fellow eye necessitates strict postoperative follow-up.
  • Highlights the importance of considering specific ocular characteristics when diagnosing and managing retinal detachment.