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Acquired peripheral retinal telangiectasia after retinal surgery
1Moorfields Eye Hospital, London, United Kingdom.
Retina (Philadelphia, Pa.)
|January 1, 1994
Summary
Acquired peripheral retinal telangiectasia (APRT) can develop after retinal surgery, particularly in myopic patients with Stickler syndrome. Risk factors include retinal detachment and surgical interventions like cryotherapy or scleral buckling.
Area of Science:
- Ophthalmology
- Retinal Vascular Diseases
- Surgical Complications
Background:
- Acquired peripheral retinal telangiectasia (APRT) is a recognized condition.
- APRT can be misdiagnosed as choroidal melanoma or von Hippel-Lindau disease.
- APRT is often idiopathic but can be associated with uveitis and retinal detachment.
Observation:
- This study presents four cases of APRT developing post-retinal surgery.
- Patients were myopic; three had Stickler syndrome features.
- APRT occurred in various retinal locations relative to detachment and treatment.
Findings:
- No pre-existing vascular abnormalities were noted before surgery.
- APRT developed in treated and untreated retinal areas, including those with subretinal fluid release or scleral buckles.
- Potential risk factors identified include retinal ischemia, cryotherapy, scleral buckling, and surgical damage to Bruch's membrane.
Implications:
- The findings suggest a link between APRT and retinal detachment, especially in Stickler syndrome patients.
- Surgical interventions for retinal detachment may contribute to APRT development.
- Further research into the pathogenesis and management of postsurgical APRT is warranted.