A Case of Bullous Central Serous Chorioretinopathy Treated with Surgical Removal of Submacular Fibrin and Subsequent Photodynamic Therapy under Silicone Oil
Bullous retinal detachment is a rare complication in the chronic phase of central serous chorioretinopathy (CSC). Only a small subset of eyes with chronic CSC develops into the bullous variant of CSC (bCSC). In patients with bCSC, the elevated concentration of fibrin in the subretinal space leads to...
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| Veröffentlicht in: | Case Reports in Ophthalmology 2022-05, Vol.13 (2), p.385-392 |
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| creator | Notomi, Shoji Shiose, Satomi Kohno, Ri-ichiro Shimokawa, Sakurako Ishikawa, Keijiro Kano, Kumiko Mori, Kenichiro Wada, Iori Fukuda, Yosuke Nakatake, Shunji Yamaguchi, Muneo Sonoda, Koh-Hei |
| description | Bullous retinal detachment is a rare complication in the chronic phase of central serous chorioretinopathy (CSC). Only a small subset of eyes with chronic CSC develops into the bullous variant of CSC (bCSC). In patients with bCSC, the elevated concentration of fibrin in the subretinal space leads to persistent retinal detachment and eventually, severe vision loss. We experienced a case of unilateral bCSC with a massive accumulation of subretinal fibrin. Multiple leakage points and dilated choroidal veins were also observed. The patient underwent surgical removal of subretinal fibrin and silicone oil injection followed by photodynamic therapy (PDT). After this treatment, the retina was successfully reattached, and the affected eye was free from recurrent exudative changes for more than 18 months. Massive subretinal fibrin could be surgically removed to prevent the formation of subretinal fibrosis and retinal fold, and PDT under silicone oil can control the underlying exudative changes in bCSC. |
| doi_str_mv | 10.1159/000524515 |
| format | Article |
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Only a small subset of eyes with chronic CSC develops into the bullous variant of CSC (bCSC). In patients with bCSC, the elevated concentration of fibrin in the subretinal space leads to persistent retinal detachment and eventually, severe vision loss. We experienced a case of unilateral bCSC with a massive accumulation of subretinal fibrin. Multiple leakage points and dilated choroidal veins were also observed. The patient underwent surgical removal of subretinal fibrin and silicone oil injection followed by photodynamic therapy (PDT). After this treatment, the retina was successfully reattached, and the affected eye was free from recurrent exudative changes for more than 18 months. Massive subretinal fibrin could be surgically removed to prevent the formation of subretinal fibrosis and retinal fold, and PDT under silicone oil can control the underlying exudative changes in bCSC.</description><identifier>ISSN: 1663-2699</identifier><identifier>EISSN: 1663-2699</identifier><identifier>DOI: 10.1159/000524515</identifier><identifier>PMID: 35811763</identifier><language>eng</language><publisher>Basel, Switzerland: S. Karger AG</publisher><subject>Blood tests ; bullous retinal detachment ; Cancer ; Case Report ; Case reports ; central serous chorioretinopathy ; Fibrin ; Hospitals ; Lasers ; Medical imaging ; pars plana vitrectomy and silicone oil tamponade ; Photochemotherapy ; Photodynamic therapy ; Retina ; Silicones ; subretinal fibrosis</subject><ispartof>Case Reports in Ophthalmology, 2022-05, Vol.13 (2), p.385-392</ispartof><rights>2022 The Author(s). Published by S. Karger AG, Basel</rights><rights>COPYRIGHT 2022 S. Karger AG</rights><rights>2022 The Author(s). Published by S. Karger AG, Basel . This work is licensed under the Creative Commons Attribution – Non-Commercial License http://creativecommons.org/licenses/by-nc/3.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Copyright © 2022 by S. Karger AG, Basel 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><orcidid>0000-0002-6615-7153 ; 0000-0002-0201-8541 ; 0000-0002-4590-4471 ; 0000-0002-7935-4244 ; 0000-0003-4662-9755</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9210043/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9210043/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,27612,27901,27902,53766,53768</link.rule.ids></links><search><creatorcontrib>Notomi, Shoji</creatorcontrib><creatorcontrib>Shiose, Satomi</creatorcontrib><creatorcontrib>Kohno, Ri-ichiro</creatorcontrib><creatorcontrib>Shimokawa, Sakurako</creatorcontrib><creatorcontrib>Ishikawa, Keijiro</creatorcontrib><creatorcontrib>Kano, Kumiko</creatorcontrib><creatorcontrib>Mori, Kenichiro</creatorcontrib><creatorcontrib>Wada, Iori</creatorcontrib><creatorcontrib>Fukuda, Yosuke</creatorcontrib><creatorcontrib>Nakatake, Shunji</creatorcontrib><creatorcontrib>Yamaguchi, Muneo</creatorcontrib><creatorcontrib>Sonoda, Koh-Hei</creatorcontrib><title>A Case of Bullous Central Serous Chorioretinopathy Treated with Surgical Removal of Submacular Fibrin and Subsequent Photodynamic Therapy under Silicone Oil</title><title>Case Reports in Ophthalmology</title><addtitle>Case Rep Ophthalmol</addtitle><description>Bullous retinal detachment is a rare complication in the chronic phase of central serous chorioretinopathy (CSC). Only a small subset of eyes with chronic CSC develops into the bullous variant of CSC (bCSC). In patients with bCSC, the elevated concentration of fibrin in the subretinal space leads to persistent retinal detachment and eventually, severe vision loss. We experienced a case of unilateral bCSC with a massive accumulation of subretinal fibrin. Multiple leakage points and dilated choroidal veins were also observed. The patient underwent surgical removal of subretinal fibrin and silicone oil injection followed by photodynamic therapy (PDT). After this treatment, the retina was successfully reattached, and the affected eye was free from recurrent exudative changes for more than 18 months. Massive subretinal fibrin could be surgically removed to prevent the formation of subretinal fibrosis and retinal fold, and PDT under silicone oil can control the underlying exudative changes in bCSC.</description><subject>Blood tests</subject><subject>bullous retinal detachment</subject><subject>Cancer</subject><subject>Case Report</subject><subject>Case reports</subject><subject>central serous chorioretinopathy</subject><subject>Fibrin</subject><subject>Hospitals</subject><subject>Lasers</subject><subject>Medical imaging</subject><subject>pars plana vitrectomy and silicone oil tamponade</subject><subject>Photochemotherapy</subject><subject>Photodynamic therapy</subject><subject>Retina</subject><subject>Silicones</subject><subject>subretinal fibrosis</subject><issn>1663-2699</issn><issn>1663-2699</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>M--</sourceid><sourceid>BENPR</sourceid><sourceid>DOA</sourceid><recordid>eNptkktr3DAQgE1paUKSQ-89CHLqYVM9_JAuha1J2kBgQ3d7FrI0srX1Wq5sp-x_6Y-tdh2WBIoOkma--ZBGSpIPBN8QkonPGOOMphnJ3iTnJM_ZguZCvH2xPkuuhmEbMcwE5SR7n5yxjBNS5Ow8-btEpRoAeYu-Tm3rpwGV0I1BtWgN4bhtfHA-wOg636ux2aNNADWCQX_c2KD1FGqnI_4Ddv4pztG0nqqd0lOrArpzVXAdUp05RAf4PUU7emz86M2-Uzun0aaBoPo9mjoDAa1d67TvAK1ce5m8s6od4Op5vkh-3t1uyu-Lh9W3-3L5sNApF-NCK8u5ETmrqqzQFRFWC53nKWeWUGVoigvOcqVNllkaGV4RirHBumLWpCZlF8n97DVebWUf3E6FvfTKyWPAh1qqMDrdgiSgGeUU2yIXKc-xAFFZCtbGOMMaouvL7OpjE8DouZmvpK8znWtk7Z-koATjlEXB9bMg-NitYZRbP4Uu3l_SgqSUx7cWkbqZqVrFU7nO-ijTcRjYHftnXYwvi8Mrp7zIYsGnuUAHPwwB7OlIBMvDR5KnjxTZjzP7S4Uawok8pa__my5XjzMhe2PZP7yl0O0</recordid><startdate>20220530</startdate><enddate>20220530</enddate><creator>Notomi, Shoji</creator><creator>Shiose, Satomi</creator><creator>Kohno, Ri-ichiro</creator><creator>Shimokawa, Sakurako</creator><creator>Ishikawa, Keijiro</creator><creator>Kano, Kumiko</creator><creator>Mori, Kenichiro</creator><creator>Wada, Iori</creator><creator>Fukuda, Yosuke</creator><creator>Nakatake, Shunji</creator><creator>Yamaguchi, Muneo</creator><creator>Sonoda, Koh-Hei</creator><general>S. 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Only a small subset of eyes with chronic CSC develops into the bullous variant of CSC (bCSC). In patients with bCSC, the elevated concentration of fibrin in the subretinal space leads to persistent retinal detachment and eventually, severe vision loss. We experienced a case of unilateral bCSC with a massive accumulation of subretinal fibrin. Multiple leakage points and dilated choroidal veins were also observed. The patient underwent surgical removal of subretinal fibrin and silicone oil injection followed by photodynamic therapy (PDT). After this treatment, the retina was successfully reattached, and the affected eye was free from recurrent exudative changes for more than 18 months. Massive subretinal fibrin could be surgically removed to prevent the formation of subretinal fibrosis and retinal fold, and PDT under silicone oil can control the underlying exudative changes in bCSC.</abstract><cop>Basel, Switzerland</cop><pub>S. 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| subjects | Blood tests bullous retinal detachment Cancer Case Report Case reports central serous chorioretinopathy Fibrin Hospitals Lasers Medical imaging pars plana vitrectomy and silicone oil tamponade Photochemotherapy Photodynamic therapy Retina Silicones subretinal fibrosis |
| title | A Case of Bullous Central Serous Chorioretinopathy Treated with Surgical Removal of Submacular Fibrin and Subsequent Photodynamic Therapy under Silicone Oil |
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