Ophthalmology Summit 2019
Ophthalmology Case Reports | Volume 3
Note:
OF EXCELLENCE
IN INTERNATIONAL
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March 27-28, 2019 | Amsterdam, Netherlands
2
nd
GLOBAL
OPHTHALMOLOGY SUMMIT 2019
Page27
TOTAL RETINAL DETACHMENT WITHPERSISGTENT FETAL VASCULATURE
THE MANAGEMENT OF A CHALLENGING OPHTHALMOLOGY CASE
Waldensius Girsang
and
Martin Hertanto
JEC Eye Hospitals and Clinics, Indonesia
A
27-year-old woman came with blurred vision of her right eye (RE) after kicked by her child since approx-
imately one week prior to the visit. Since then her eyesight has progressively become worse. Initial as-
sessment showed that her visual acuity (VA) was light perception in the RE and 6/60 (2/20) in the left eye (LE).
Further examination also revealed total RDwith retrolental membrane forming a stalk in the patient’s RE as well
as a chorioretinal scar in the macular region of her LE. The clinical diagnoses were total RD with persistent fetal
vasculature of the RE and macular scar of the LE, apparently due to previous history of ocular toxoplasmosis.
This is indeed a very complicated case with a high rate of retinal redetachment after surgery, usually in need of
a second surgery to attach the retina, and a guarded prognosis of not able to improve VA even after the retina is
attached. Considering the poor VA of her LE and patient’s strong will to underwent surgery even after knowing
the prognosis, a vitreoretinal surgery was performed. Vitrectomy was done with both circular and radial relax-
ing retinectomy to release tension on the retina. This technique was performed to minimize the rate of retinal
re-detachment due to traction. Primary anatomical success of attached retina was achieved after the surgical
procedure. Visual acuity slightly improved to half meter finger counting. The patient is still on long term follow
up in the outpatient clinic.
Conclusion:
Surgical method demonstrated in this case presentation can be used as an alternative for complex
cases of retinal detachment to achieve satisfactory anatomical success.
Waldensius Girsang et al., Ophthalmol Case Rep 2019, Volume 3
Waldensius Girsang earned a doctorate from the faculty of Medicine, University of North Sumatra and graduated as
an eye specialist from the faculty of Medicine, University of Indonesia. Currently, he is an active member of several
organizations, such as the Indonesian Ophthalmologist Association [IOA] - PERDAMI, Indonesian Medical Association
[IMA] - IDI, and the European Society of Retina Specialist [EURETINA]. He joined the fellowship program at the Jakarta
Eye Center and the vitreoretinal training at Zhongshan Ophthalmologic Center, Sun Yat Sen University, Guangzhou,
China. This fellowship and peer training program enriches his expertise and knowledge in the field of general, cataract,
and vitreoretinal ophthalmology. Now he works as a trusted eye specialist because of his outstanding achievement. He
is a member of the Cataract, LASIK and Vitreoretina specialist teams.
waldensius@jec.co.idBIOGRAPHY