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Intraretinal macrocysts in retinal detachment.

D F Marcus, T M Aaberg

    Archives of Ophthalmology (Chicago, Ill. : 1960)
    |July 1, 1979
    PubMed
    Summary
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    Retinal macrocysts, often seen with long-standing retinal detachment, can arise from the outer plexiform layer. Surgical drainage is recommended if these cysts impede retinal break closure during detachment repair.

    Area of Science:

    • Ophthalmology
    • Retinal Diseases
    • Vitreoretinal Surgery

    Background:

    • Retinal detachment is a serious condition requiring prompt surgical intervention.
    • Macrocysts associated with retinal detachment are uncommon but present unique challenges.

    Observation:

    • Seven cases of retinal detachment involving ophthalmoscopically visible macrocysts were identified.
    • These macrocysts were predominantly associated with chronic retinal detachment, especially traumatic cases with retinal dialysis.
    • The macrocysts originated from the outer plexiform layer of the retina, with some extending to the ora serrata.

    Findings:

    • Most retinal macrocysts do not necessitate specific intervention during retinal detachment repair.
    • Surgical drainage of the macrocyst is advised when it obstructs the closure of the primary retinal break.

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  • Four of the seven cases required surgical collapse of the macrocyst to facilitate retinal reattachment.

    • Implications:

    • Understanding the origin and behavior of retinal macrocysts aids in surgical planning.
    • Prompt recognition and appropriate management of macrocysts can improve outcomes in retinal detachment surgery.
    • This study highlights the importance of considering macrocysts in the management of complex retinal detachments.