Giant retinal tears (GRT) are defined as full-thickness circumferential tears of more than 90 degrees of the retina associated with vitreous detachment [1]. The incidence of GRT is rare and is associated with rhegmatogenous retinal detachments (RD) in approximately 1.5% of cases [2]. Although GRT can be idiopathic, it's often associated with various comorbidities, such as ocular trauma, high myopia, aphakia, pseudophakia, collagen-related genetic mutations, young age, and male sex [1,3,4].Innovations in micro incisional surgery and surgical supplies have improved the prognosis of patients with GRT [5]. The use of perfluorocarbon this article is available in open access under Creative Common attribution-Non-Commercial-No Derivatives 4.0 International (CC BY-NC-ND 4.0) license, allowing to download articles and share them with others as long as they credit the authors and the publisher, but without permission to change them in any way or use them commercially
We present the clinical case of an 8-years-old male patient with a genetic diagnosis of Stickler syndrome type 1 and the management of associated vitreoretinal complications. The patient had an antecedent of no light perception in his left eye secondary to retinal detachment treated in another health centre. He consulted with a history of blunt trauma in his head with an unremarkable anterior segment and fundus exam. Scleral indentation showed no lesions to be treated in the right eye. We recommended follow-up every six months. The patient did not come to controls. He was consulted three years later because of visual loss in his right eye. Fundus showed a total retinal detachment secondary to a giant retinal tear of 320º with macular involvement and choroidal detachments. Therefore, scleral buckling, lensectomy, pars plana vitrectomy, inferior retinectomy, endovenous laser treatment (endolaser), and silicone oil tamponade were performed. After six weeks of follow-up, the patient presented an inferior re-detachment with grade C3 vitreoretinal proliferation. A new procedure of silicone oil removal, epiretinal membrane removal, enlargement of inferior retinectomy, endolaser, and silicone oil tamponade was indicated. After 6-months of follow-up, no new retinal detachment was presented, and the best-corrected visual acuity was 20/100.
Behçet's disease (BD), also known as "silk road disease" [1], was first described in 1937 [2]. This multisystemic rheumatologic disease is characterized by necrotizing, chronic, and occlusive vasculitis, of unknown cause, which affects arteries and veins, with recurrent self-limited episodes [1-3]. Classically it presents with a triad of oral aphthous ulcers, genital ulcers, and uveitis. Nevertheless, it can also compromise other systems and organs less frequently, such as the central nervous system, cardiovascular, skin, gastrointestinal, renal, pulmonary, and musculoskeletal systems [1][2][3][4].
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