Pars Plana vitrectomy and epiretinal membrane peeling for vitreoretinal traction associated with combined hamartoma of the retina and retinal pigment epithelium (CHRRPE).

Détails

ID Serval
serval:BIB_EF9D1A6EECBF
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Titre
Pars Plana vitrectomy and epiretinal membrane peeling for vitreoretinal traction associated with combined hamartoma of the retina and retinal pigment epithelium (CHRRPE).
Périodique
Klinische Monatsblätter für Augenheilkunde
Auteur(s)
Konstantinidis L., Chamot L., Zografos L., Wolfensberger T.J.
ISSN
0023-2165
Statut éditorial
Publié
Date de publication
04/2007
Peer-reviewed
Oui
Volume
224
Numéro
4
Pages
356-359
Langue
anglais
Résumé
BACKGROUND: Combined hamartoma of the retina and retinal pigment epithelium (CHRRPE) are rare, benign tumours that typically appear slightly elevated and are characterised by varying amounts of pigmentation, vascular tortuosity, and epiretinal membrane formation that can be related to macular distortion. The importance of changes at the vitreoretinal interface in this condition as a risk for visual loss was early recognised but controversy exists concerning the benefits of surgical removal of the tractional component. We describe 2 cases of CHRRPE who demonstrated significant visual acuity improvement after pars plana vitrectomy and epiretinal membrane peeling. HISTORY AND SIGNS: A 12-year-old girl and a 14-year-old boy presented with progressive unilateral visual loss related with a CHRRPE. In both instances the hamartoma was associated with a thickened posterior hyaloid and epiretinal membrane inducing considerable vitreomacular traction as shown by optical coherence tomography (OCT). Best-corrected pre-operative visual acuity was 0.2 in both cases. THERAPY AND OUTCOME: Vitrectomy and epiretinal membrane peeling were performed in both cases. Relief of vitreomacular traction and macular distortion was achieved and documented on OCT. Visual acuity at the latest follow up was 0.5 and 0.8, respectively. CONCLUSIONS: Surgical dissection can be effective in the treatment of vitreomacular traction associated with CHRRPE with a good functional and anatomical outcome.
Mots-clé
Adolescent, Child, Epiretinal Membrane, Female, Hamartoma, Humans, Male, Pigment Epithelium of Eye, Retinal Diseases, Treatment Outcome, Vitrectomy, Vitreoretinopathy, Proliferative
Pubmed
Web of science
Création de la notice
28/01/2008 14:10
Dernière modification de la notice
03/03/2018 22:35
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