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Pseudoangiomatous retinal gliosis (PARG) treated with iodine plaque in patient with chronic retinal detachment.

التفاصيل البيبلوغرافية
العنوان: Pseudoangiomatous retinal gliosis (PARG) treated with iodine plaque in patient with chronic retinal detachment.
المؤلفون: Marquez MA; Bascom Palmer Eye Institute, Miller School of Medicine, University of Miami, Miami, FL, USA., Fortun J; Bascom Palmer Eye Institute, Miller School of Medicine, University of Miami, Miami, FL, USA., Iyer P; Bascom Palmer Eye Institute, Miller School of Medicine, University of Miami, Miami, FL, USA., Harbour JW; Bascom Palmer Eye Institute, Miller School of Medicine, University of Miami, Miami, FL, USA., Haddock LJ; Bascom Palmer Eye Institute, Miller School of Medicine, University of Miami, Miami, FL, USA.
المصدر: American journal of ophthalmology case reports [Am J Ophthalmol Case Rep] 2022 Jun 11; Vol. 27, pp. 101614. Date of Electronic Publication: 2022 Jun 11 (Print Publication: 2022).
نوع المنشور: Case Reports
اللغة: English
بيانات الدورية: Publisher: Elsevier, Inc Country of Publication: United States NLM ID: 101679941 Publication Model: eCollection Cited Medium: Internet ISSN: 2451-9936 (Electronic) Linking ISSN: 24519936 NLM ISO Abbreviation: Am J Ophthalmol Case Rep Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: [Atlanta] : Elsevier, Inc. [2016]-
مستخلص: Purpose: To describe a case of a chronic retinal detachment complicated by the development of pre and subretinal hemorrhage secondary to a large pseudoangiomatous retinal gliosis (PARG) that interfered with retinal reattachment. After the lesion was regressed following plaque radiotherapy retinal reattachment was successfully completed.
Observations: A 56y.o healthy man with known history of a chronic inferior rhegmatogenous retinal detachment (RD) of the left eye (OS) presented to the Bascom Palmer Eye Institute (BPEI) emergency department (ED) complaining of new floaters OS. On examination, the patient had a visual acuity of 20/30 right eye (OD) and 20/200 OS. Fundoscopic examination showed a treated tear in OD and dense vitreous hemorrhage OS. Initial B-scan ultrasonography OS showed an inferior RD with diffuse hyperechoic material in the vitreous cavity, preretinal and subretinal space most consistent with hemorrhage. Three days later the patient presented with further vision loss and a repeat B scan showed total RD and increasing subretinal hemorrhage with a solid mass like lesion. At this point, decision was made to proceed with retinal detachment repair, removal of the vitreous hemorrhage, and retina evaluation. During surgery, a total retinal detachment was encountered with poor view of the inferior retina due to a large round vascular lesion in the subretinal space with surrounding hemorrhage and clots. The retina was reattached during surgery, however, the postop was complicated by recurrence of VH, dense hyphema, increased IOP, recurrence of retinal detachment, and growth of the mass like lesion noted during surgery. Consultation with ocular oncology diagnosed the patient with secondary PARG lesion and plaque radiotherapy was given achieving remarkable regression of the lesion. After the lesion had regressed, successful retinal reattachment was achieved, and the patient had excellent visual recovery.
Conclusion and Importance: PARG lesions are uncommon in particular when associated to chronic retinal detachments. This case highlights the importance of having a high clinical suspicion for the development of these lesions to diagnose them correctly and treat them aggressively with plaque radiotherapy in order to be able to manage the underlying complex retinal detachment.
(© 2022 The Authors.)
References: Br J Ophthalmol. 2006 Apr;90(4):447-50. (PMID: 16547325)
Arch Ophthalmol. 1995 May;113(5):615-23. (PMID: 7748132)
Arch Ophthalmol. 1996 May;114(5):617. (PMID: 8619777)
Br J Ophthalmol. 2000 Oct;84(10):1162-9. (PMID: 11004104)
Am J Ophthalmol. 1980 May;89(5):647-50. (PMID: 6155069)
Ophthalmology. 1983 Nov;90(11):1292-300. (PMID: 6664668)
Eye (Lond). 2009 Sep;23(9):1851-8. (PMID: 19011602)
Ophthalmic Surg Lasers Imaging. 2012 Oct 04;43 Online:e104-6. (PMID: 23053849)
Arch Ophthalmol. 2011 Sep;129(9):1234-5. (PMID: 21911679)
JAMA Ophthalmol. 2013 Mar;131(3):328-34. (PMID: 23494037)
Graefes Arch Clin Exp Ophthalmol. 1999 Dec;237(12):1033-8. (PMID: 10654174)
Arch Ophthalmol. 2008 Sep;126(9):1245-51. (PMID: 18779485)
Arch Ophthalmol. 2000 Apr;118(4):563-9. (PMID: 10766145)
Retina. 1990;10(4):274-7. (PMID: 1708517)
Retina. 1984 Summer-Fall;4(3):152-7. (PMID: 6494632)
Am J Ophthalmol. 2013 Mar;155(3):593-608.e1. (PMID: 23219067)
فهرسة مساهمة: Keywords: Plaque radiotherapy; Pseudoangiomatous retinal gliosis (PARG); Retina; Retinal detachment; Tumor; Vasoproliferative retinal tumor; Vitreous hemorrhage
تواريخ الأحداث: Date Created: 20220623 Latest Revision: 20220716
رمز التحديث: 20221213
مُعرف محوري في PubMed: PMC9207220
DOI: 10.1016/j.ajoc.2022.101614
PMID: 35734079
قاعدة البيانات: MEDLINE
الوصف
تدمد:2451-9936
DOI:10.1016/j.ajoc.2022.101614