Retinal Detachment due to Unrecognized Retinal Dialysis in a Patient with Choroidal Coloboma
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Date
2020
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Abstract
Lower half retinal detachment was found in a young male patient with choroidal coloboma and vitreus turbidity . The treatment of the retinal
detachment which was considered to originate from choroidal coloboma was lens aspiration, IOL implantation followed by 23 G Pars plana
vitrectomy. Following core vitrectomy and perfl uorocarbon injection , retinal dialysis was observed in the lower nasal area during the peripheral
vitreous shaving using indentation. Our patient was only then correctly diagnosed as retinal detachment secondary to retinal dialysis was treated
with PPV-endolaser and 16% C3F8 gas injection and in the post-operative period, the retina attached. Retinal dialysis was encountered in the
patient without history of trauma in whom we thought retinal detachment was due to the subvisible tears in the coloboma. Peripheral retina
and vitreous base should be examined in detail in all of our patients even if there are apparent causes for detachment as choroidal coloboma.