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Successful scleral buckling of late-onset visual decrease in eye with retinal folds

  • Clinical Case Report
  • Published:
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Abstract

Purpose

To describe the outcome of scleral buckling to treat radial retinal folds (RFs) that caused a late-onset and sudden visual decrease with impairment of the fovea.

Methods

This is an observational case report. Ophthalmic examinations were performed preoperatively and postoperatively and included measurement of the best-corrected visual acuity (BCVA), fundus examination, fluorescein angiography, focal macular electroretinography (FM-ERG), and spectral-domain optical coherence tomography (OCT).

Results

A patient, whose case was reported previously, had a superonasal retinal detachment with a dislocated fovea and good BCVA in her right eye and a sustained BCVA of 40/50 by age 17 years and 3 months. The BCVA decreased suddenly to 20/200 at age 17 years and 11 months. Fundus examinations showed micro-dislocation of the fovea to the RFs and narrowing of the RFs compared with the previous report. FM-ERG showed an almost extinguished response, and OCT images showed abnormalities of the outer nuclear and photoreceptor layers. Encircling and radial scleral buckling was performed. Four months postoperatively, the BCVA improved to 30/50, which corresponded to the recovery of the FM-ERG response and findings on the OCT images. One year and 3 months postoperatively, the BCVA recovered to 35/50 with repositioning of the fovea.

Conclusions

Simultaneous encircling and radial scleral buckling resulted in the recovery of both retinal function and structure in the current case and is a useful surgical option to treat late-onset progressive RFs due to intensification of traction.

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Acknowledgments

We thank the patient for participating in this study. This work was supported by grants from the Ministry of Health, Labour, and Welfare (H24-Nanchi-Ippan-031) and the National Centre for Child Health and Development 25-7.

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Authors and Affiliations

  1. Department of Ophthalmology and Laboratory for Visual Science, National Center for Child Health and Development, 2-10-1 Okura Setagaya-ku, Tokyo, Japan

    Yuri Nakayama, Satoshi Katagiri, Tadashi Yokoi, Makiko Ui, Sachiko Nishina & Noriyuki Azuma

  2. Department of Ophthalmology, The Jikei University School of Medicine, Tokyo, Japan

    Satoshi Katagiri

Authors
  1. Yuri Nakayama
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  2. Satoshi Katagiri
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  3. Tadashi Yokoi
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  4. Makiko Ui
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  5. Sachiko Nishina
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  6. Noriyuki Azuma
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Corresponding author

Correspondence to Noriyuki Azuma.

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Conflict of interest

The authors declare that there are no conflicts of interest regarding this study.

Informed consent

The present case consented to the submission as the case report for the journal.

Statement of human rights

The institutional review board of the National Center for Child Health and Development approved the protocol of this study, which adhered to the tenets of the Declaration of Helsinki.

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Cite this article

Nakayama, Y., Katagiri, S., Yokoi, T. et al. Successful scleral buckling of late-onset visual decrease in eye with retinal folds. Doc Ophthalmol 133, 145–149 (2016). https://doi.org/10.1007/s10633-016-9559-5

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  • DOI: https://doi.org/10.1007/s10633-016-9559-5

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