Retinal detachment and gyrate atrophy of the choroid and retina: case report

Abstract

To report a case of gyrate atrophy of the choroid and retina associated with re tinal detachment. Hyperornithinemia confirmed the diagnosis of gyrate atrophy. Pars plana vitrectomy with silicone oil infusion was performed with good anatomical results, despite the persistence of low visual acuity. Retinal detachment is a rare complication of gyrate atrophy and can be managed with pars plana vitrectomy and silicone oil. We discuss the possible mechanisms that led to low visual acuity. Keywords

Gyrate Atrophy of the Choroid and Retina: A Review

“…57 Treatment of ocular complications of GA includes cataract surgery and intraocular lens implantation for visually significant cataract which may also be associated with zonular compromise. 5,77 Pars plana vitrectomy can be performed for the treatment of macular holes, 44 rhegmatogenous retinal detachments, 78 and vitreous hemorrhage, 79 while intravitreal injection of anti-vascular endothelial growth factor agents can be used for the treatment of choroidal neovascularisation. 45,50…”

“…57 Treatment of ocular complications of GA includes cataract surgery and intraocular lens implantation for visually significant cataract which may also be associated with zonular compromise. 5,77 Pars plana vitrectomy can be performed for the treatment of macular holes, 44 rhegmatogenous retinal detachments, 78 and vitreous hemorrhage, 79 while intravitreal injection of anti-vascular endothelial growth factor agents can be used for the treatment of choroidal neovascularisation. 45,50 Finally, the use of low-vision aids may be of benefit to some patients with advanced disease, however, the diffuse chorioretinal atrophy that may be present in late disease and involves the macula as well as the retinal periphery may limit the options available for these patients.…”