Idiopathic cyclitic retrolental membrane in children

Details

Serval ID
serval:BIB_F0637B27F9AE
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Idiopathic cyclitic retrolental membrane in children
Journal
Klinische Monatsblatter fur Augenheilkunde
Author(s)
Oberhansli  C., Munier  F. L., Uffer  S., Zografos  L., Wolfensberger  T. J.
ISSN
0023-2165 (Print)
Publication state
Published
Issued date
03/2005
Volume
222
Number
3
Pages
271-4
Notes
Case Reports
Journal Article --- Old month value: Mar
Abstract
BACKGROUND: Cyclitic retrolental membranes (CRM) in children are usually associated with chronic uveitis or genetic syndromes. We report two rare cases of idiopathic CRM. PATIENTS AND METHODS: Two girls aged 9 and 13 years with visual acuities (VA) of 0.05 underwent lensectomy and anterior vitrectomy with dissection of the central part of the retrolental membrane and intraocular lens (IOL) implantation. RESULTS: The clinical evolution was excellent for the 9 year old girl who recovered 1.0 VA after 2 months. Histological examination revealed a fibroelastic tissue of unknown origin without inflammatory components. The 13 year old girl showed VA of 0.6 within 1 month. However, a recurrent CRM developed with retinal detachment and proliferative vitreoretinopathy (PVR). Vitrectomy, complete excision of the CRM and 360 degrees retinotomy with silicon oil tamponade attached the retina with limited visual recovery. Histology showed fibrovascular tissue with inflammatory components infiltrating the CRM. CONCLUSIONS: Idiopathic CRM in children are rare and can be composed of different histological tissues with very different clinical outcomes.
Keywords
Adolescent Atrophy Child Ciliary Body/pathology Female Follow-Up Studies Humans Lens Diseases/pathology/*surgery *Lens Implantation, Intraocular Lens, Crystalline/pathology Postoperative Complications/pathology/surgery Recurrence Reoperation Retinal Detachment/pathology/surgery Visual Acuity/physiology *Vitrectomy Vitreoretinopathy, Proliferative/pathology/surgery
Pubmed
Web of science
Create date
28/01/2008 12:54
Last modification date
20/08/2019 16:18
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