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Exudative Retinal Detachment Following Laser Photocoagulation for Retinopathy of Prematurity: A Rare Complication

Omar Moinuddin, Sarah Bonaffini, Cagri G Besirli

    Ophthalmic Surgery, Lasers & Imaging Retina
    |April 19, 2019
    PubMed

    Insights

    Laser photocoagulation for retinopathy of prematurity (ROP) can rarely cause exudative retinal detachment (ERD). This case study shows successful management of severe unilateral ERD with corticosteroids, leading to near-complete resolution.

    Area of Science:

    • Ophthalmology
    • Neonatology

    Background:

    • Laser photocoagulation is the standard treatment for retinopathy of prematurity (ROP).
    • Exudative retinal detachment (ERD) is a rare complication following laser treatment for ROP.

    Observation:

    • A case of severe, unilateral ERD developing after bilateral laser photocoagulation for Type I ROP in an infant at 37 weeks postmenstrual age (PMA).

    Findings:

    • The infant was treated with systemic and topical corticosteroids.
    • Near-complete resolution of ERD was observed by 39 weeks PMA.
    • Serial examinations, fundus photography, and fluorescein angiography documented resolution and sequelae up to 62 weeks PMA.

    Implications:

    • Corticosteroids may be an effective treatment for laser-induced ERD in ROP.
    • Understanding the course and sequelae of ERD is crucial for managing this rare complication.
    • This case highlights the importance of continued monitoring after ROP treatment.

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