Jurnal Oftalmologi Indonesia
ISSN 1693-2587
Vol. 7 / No. 5 / Published : 2011-06
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Original Article :
Vitrectomy and silicone oil tamponade in the management of retinal detachment in marfan syndrome patient
Author :
- Joko Triyono*1
- Department of Ophthalmology, Faculty of Medicine Airlangga University/Dr. Soetomo General Hospital, Surabaya
Abstract :
The objective of this case report is to present outcome of vitrectomy with silicone oil tamponade in management of subtotal retinal detachment with multiple breaks in Marfan Syndrome. A case report, a 21 years old man, came to outpatient clinic with blurred vision in his both eye since childhood. Visual examination in his both eyes was hand movement, shallow anterior chamber, ocular tension of the right eye (RE) was 17.3 mmHg, left eye (LE) was 14.6 mmHg and his lens position in the RE was superotemporal direction subluxated and nasal superior direction subluxated in the LE, but both lenses part remains in the visual axis. Marfan Syndrom diagnosed based on ocular disorder, arachnodatily and arm span greater than height. Three Mirror Goldman (TMG) contact lens examination showed in the RE retinal break at 12 o' clock, multiple holes at 4 and 5 o'clock position, subtotal retinal detachment, PVR grade II; in the LE multiple hole at 11 o'clock position with PVR grade I and subtotal retinal detachment inferiorly with macular involvement. USG examination showed elongation of axial length up to 28 mm in the RE and 30 mm in the LE. Management consist of circling band, vitrectomy with silicone oil tamponade with endolaser had been performed on the left eye. One week after vitrectomy, visual acuity became two meters counting finger, retina totally attached. His RE will be operated after his LE fully recovery. Vitrectomy with silicone oil tamponade is suggested in the management of subtotal retinal detachment with multiple breaks
Keyword :
vitrectomy, silicone oil, retinal detachment,
References :
Falvre L et al,(2009) Clinical and Molekular Study of 320 Children with Marfan Syndrome and related type I fibrillinopathies in aseries of 1009 probands with pathologenic FBN 1 Mutation - : Pediatricvolume 123, number 1 Januari
Keane M, Pyeritz R,(2010) Medical Management of Marfan Syndrome, Circulation - : American Heart Association
Kanski JJ,(2007) Clinical Ophtalmology, a Systemic Approach, sixth edition Philadelpia : Butterworth Heinemann
The Merck Manuals online Medical Library,(2001) Diagnostic Criteria for Marfan Syndrome (Ghent Nosology) Archieves of Internal Medicine - : -
Archive Article
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 Volume : 7 / No. : 5 / Pub. : 2011-06 |
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