Retinal detachment repair with perfluoro-N-octane endotamponade in an infant with juvenile X-linked retinoschisis

We present a case of successful surgical management of an infant with X-linked retinoschisis with a giant retinal tear and retinal detachment of the right eye. A 10-month-old male presented with retinoschisis of both eyes and a retinal detachment of the right eye. The patient underwent two-stage par...

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Bibliographic Details
Published inAmerican journal of ophthalmology case reports Vol. 20; p. 100975
Main Authors Chiang, Homer, Chang, Emmanuel, Harper, C. Armitage
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.12.2020
Elsevier
Subjects
Case Report
Perfluoro-N-Octane
Retinal detachment
Vitrectomy
X-linked retinoschisis
EUA
Retinal detachment
Perfluoro-N-Octane
PPV
PFO
Vitrectomy
XLRS
PVR
X-linked retinoschisis
PPV, pars plana vitrectomy
PFO, Perfluoro-N-octane
EUA, Exam under anesthesia
PVR, proliferative vitreoretinopathy
XLRS, X-linked retinoschisis
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Summary:We present a case of successful surgical management of an infant with X-linked retinoschisis with a giant retinal tear and retinal detachment of the right eye. A 10-month-old male presented with retinoschisis of both eyes and a retinal detachment of the right eye. The patient underwent two-stage pars plana vitrectomy utilizing perfluoro-N-octane to stabilize the detached retina and facilitate posterior hyaloid separation. Retained perfluoro-N-octane tamponade was later exchanged with silicone oil. The retina remained attached at last follow up. Retinal detachment repair in infants presents unique challenges. This is a safe and effective strategy for complex retinal detachment repair in the infant population.
ISSN:2451-9936
2451-9936
DOI:10.1016/j.ajoc.2020.100975