Development of retinal vasculitis following an uneventful pars plana vitrectomy

Purpose: To describe a case of frosted branch angiitis–like retinal vasculitis that developed after scleral buckle surgery. Methods: A single case was evaluated. Results: Five days after nondrainage scleral buckle surgery with a segmental buckle and encircling band, an otherwise healthy 39-year-old man presented with frosted branch angiitis. Treatment initially involved oral corticosteroids. After 5 days of treatment, there was a decrease in the subretinal exudation; however, the break appeared to be lifting with persistent subretinal fluid. Pars plana vitrectomy (PPV) with silicone oil (SO) injection was performed. A vitreous biopsy was taken during the PPV that was negative for bacterial, fungal, and viral markers. The patient’s blood and urine culture showed no microbial growth, ruling out an infectious cause. Ultimately, the SO was removed, with a good visual outcome. Conclusions: Although the cause is unknown, retinal vasculitis may occur after scleral buckle surgery, albeit rarely.

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Pits of Fire: Post Scleral Graft Vasculitis in Patients With Optic Disc Pit Maculopathy

Dsouza,

Mohan,

Mohanakumar

et al. 2024

Ophthalmic Surg Lasers Imaging Retina

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Occlusive vasculitis is a rare complication following an uneventful surgery. In this article, we report two cases of optic disc pit maculopathy that underwent scleral graft and developed vasculitis following uneventful surgery. Both patients underwent autologous scleral graft for optic disc pit maculopathy through 25-gauge pars plana vitrectomy. Scleral graft was harvested from patient's same eye and plugged in the optic disc pit. After a postoperative period of approximately 3 months, both patients developed features of occlusive vasculitis with vitreous base contraction. Uveitic workup did not reveal other causes of vasculitis. Both patients were treated with topical and systemic steroids and responded well until the last follow-up. [ Ophthalmic Surg Lasers Imaging Retina 2024;55:XX–XX.]

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Development of retinal vasculitis following an uneventful pars plana vitrectomy

Cited by 3 publications

References 10 publications

Brilliant-blue-g/glucose/sulfur-hexafluoride

Brilliant-blue-g/glucose/sulfur-hexafluoride

Frosted Branch Angiitis–Like Retinal Vasculitis Developing After Scleral Buckle Surgery

Pits of Fire: Post Scleral Graft Vasculitis in Patients With Optic Disc Pit Maculopathy

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