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Intravitreal Dexamethasone Implant for Exudative RD Secondary to Primary Breast Cancer

Purpose: To report the effectiveness of intravitreal dexamethasone implant (Ozurdex) in treating exudative retinal detachement secondary to primary breast cancer. Method: A women with 45 years old with serous retinal detachment and a current history of metastasis in lungs and due to breast cancer was treated with two dexamethasone implants. Best corrected visual acuity, ophthalmoscopy and OCT were performed before and after...

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Bilateral Macular Serous RD After Systemic Treatment with Pimasertib

SCIENTIFIC POSTER_Monica Asencio Duran_1 Purpose: To report a case of bilateral macular serous retinal detachment after treatment with Pimasertib, a MEK inhibitor. Patients and Methods: A 76 y.o patient with N-ras mutated metastatic skin melanoma developed visual impairment and bilateral macular serous detachment on OCT and angiography 2 weeks after initiation of oral pimasertib. Pimasertib is a MEK-inhibitor (mitogen-activated...

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Serous Macular Detachment Secondary to Choroidal Osteoma: Inefficacy of Intravitreal Ranibizumab Therapy

Francisco J. Ascaso, Laura Villén, Valentín Huerva, Javier Mateo, María A. Del Buey (Zaragoza, Spain) Advantages: Choroidal osteoma (CO), typically found in healthy young women, is a rare benign intraocular tumor composed of mature cancellous bone replacing the full thickness of the choroid. Vision loss in CO depends on tumor location, serous retinal detachment (RD) associated or not, the presence of choroidal neovascularization (CNV),...

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Management of Unusual Choroidal Tumors Presenting with Exudative Retinal Detachment

Ihab Saad Othman (Giza, Egypt) Advantages: Partial lamellar resection is an advantageous method in diagnosis and management of unusual choroidal tumors. Methods: We present a series of 5 cases of unusual choroidal tumors including uveal hemangiopericytoma, schwannoma, leiomyoma ectopic lacrimal gland tumor, presenting with exudative retinal detachment. Cases were recognized and managed with partial lamellar resection resulting in...

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Serous Retinal Detachment Secondary to Vogt-Koyanagi-Harada (VKH) Disease

Salim Ben Yahia*, Rim Kahloun, Bechir Jelliti, Sonia Attia, Riadh Messaoud, Moncef Khairallah (Monastir, Tunisia) Advantages: To report the clinical characteristics and management of serous retinal detachment secondary to acute Vogt-Koyanagi-Harada (VKH) disease. Methods: Retrospective chart review of 74 patients (148 eyes) diagnosed with acute VKH disease. Effectiveness / Safety: Serous retinal detachment was bilateral in all cases....

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Management of Exudative Retinal Detachment in Pediatric Age Group

Ihab Saad Othman (Giza, Egypt) Advantages: Exudative retinal detachment in pediatric age group represents a specific pathological entity that has to be properly diagnosed and managed away from conventional vitrectomy techniques. Methods: Retrospective review of cases with total exudative retinal detachment including Coats’s disease, inflammatory retinitis and chroiditis. 15 cases were identified with a mean age of 3 years (range 1...

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Spontaneous Resolution of Serous Retinal Detachment in a Patient with Congenital Retinal Macrovessel

Francisco J. Ascaso, Esther Nuñez, Laura Lavilla, María A. Del Buey, José A. Cristóbal (Zaragoza, Spain) Advantages: Macular neurosensory retinal detachments (RD) that present in an atypical fashion constitute a diagnostic challenge to retinal specialists. We recommend observation when they are associated with a congenital retinal macrovessel (CRM). Fluorescein angiography (FA) proves to be valuable in establishing a definitive...

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Management of Exudative Retinal Detachment Following Surgery in Nanophthalmic Eyes

Frank Becquet, Jean-François Le Rouic, Didier Ducournau (Nantes, France) Purpose: To report three cases of nanophthalmic uveal effusion syndrome with exudative retinal detachment after intraocular surgery. Methods: Three patients were referred to us with a persistent exudative retinal detachment after intraocular surgery (surgery of glaucoma in two cases and cataract in one case). Sclerectomy and vortex vein decompression were performed...

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Modified Vortex Vein Decompression in Idiopathic Ciliochoroidal Effusion

Ihab Saad Othman (Giza, Egypt) Advantages: Idiopathic ciliochoroidal effusion is a specific pathological entity with abnormal thickened sclera resulting in total exudative retinal detachment. Methods: 4 cases of idiopathic ciliochoroidal effusion presented with total exudative retinal detachment. Modified vortex vein decompression was performed in 2 quadrants by creating a 90% scleral window around the vortex veins and drainage of...

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Management of Localized Choroidal Hemangioma by Brachytherapy

Ihab Saad Othman (Giza, Egypt) Advantages: Brachytherapy is a safe and an effective method in inducing vascular occlusion and flattening of the retina in localized choriodal hemangiomas. Methods: Prospective evaluation of 12 cases of localized choroidal hemangiomas associated with exudative retinal detachment managed by brachytherapy application in a dose of 20 Gys. Method follow up was 5 years. Effectiveness / Safety: Brachytherapy...

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Vitreoretinal Surgery for Retinal Detachment in Retinal capillary Hemangioma (RCH)

Maurizio Mete*, Grazia Pertile (Negrar, Italy) Retinal capillary haemangioma (RCH) is one of the most common expressions of Von Hippel-Lindau (VHL) disease. In case of small- or medium-sized RCHs (up to 2 disk diameters), the standard treatment remains laser photocoagulation or cryotherapy. Various treatments have been proposed such as brachytherapy, external beam radiotherapy, transpupillary thermotherapy, photodynamic therapy and...

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Retinal Detachments in Posterior Uveitis Associated with Infection: Role of Immunomodulatory Therapy over Two Years

Shree K Kurup (Winston Salem, NC, USA) Advantages: Posterior uveitis patients with retinal detachments may benefit from judicious anti-inflammatory therapy even in the presence of silicon oil. Methods: Retrospective review of prospectively collected data in five patients with infection associated uveitis with retinal detachments that needed immunosuppressive therapy. Effectiveness / Safety: No significant adverse adverse events were...

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Posterior Scleritis: A Rare Etiology of Serous Retinal Detachment

Rim Kahloun*, Bechir Jelliti, Imen Kaibi, Sonia Zaouali, Salim Ben Yahia, Moncef Khairallah (Monastir, Tunisia) Advantages: To study the clinical features, management guidelines, and the course of the disease in patients with posterior scleritis. Methods: Retrospective chart review of 10 patients diagnosed with posterior scleritis. Effectiveness / Safety: The main presenting symptoms were pain (10 cases) and decreased vision (6 cases)....

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Intravitreal Bevacizumab for the Treatment of Persistent Neurosensory Retinal Detachment in Malignant Hypertension

Seung Woo Lee, Young Taek Lim (Gyeongju, South Korea) Purpose: To assess the use of intravitreal bevacizumab as a new option in the treatment of persistent neurosensory retinal detachment in malignant hypertension despite successful treatment of high blood pressure. Methods: Three eyes with neurosensory retinal detachment secondary to hypertensive choroidopathy rececived intravitreal bevacizumab (2.5 mg/0.1 cc). Best corrected visual acuity...

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Serous Macular Detachment Complicating Choroidal Tumors Successfully Treated with Transpupillary Thermotherapy

Rim Kahloun*, Riadh Messaoud, Anis Mahmoud, Salah Jenzeri, Salim Ben Yahia, Moncef Khairallah (Monastir, Tunisia Advantages: To manage serous retinal detachment (SRD) associated with choroidal osteoma and choroidal hemangioma with transpupillary thermotherapy (TTT). Methods: Two patients (choroidal ostema 1, choroidal hemangioma 1) presented with serous macular detachment. TTT was applied in one session using 810 nm diode lasers to the...

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Delayed Resolution of Serous Macular Detachment Associated with Optic Disc Pit After Vitrectomy, Laser Photocoagulation, and Gas Tamponade

Salim Ben Yahia*, Rim Kahloun, Ghassen Laadhari, Ahmed Mahjoub, Sonia Attia, Moncef Khairallah (Monastir, Tunisia) Advantages: To manage serous macular detachment associated with optic disc pit with vitrectomy, laser photocoagulation to the margin of the optic disc, and gas tamponade. Methods: An 18-year-old female with serous macular detachment associated with a congenital optic pit underwent pars plana vitrectomy, induction of posterior...

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Late Serous Retinal Detachment of the Macula Following Uneventful Phacoemulsification

Francisco J. Ascaso, Valentín Huerva, Anna March, Beatriz Jimenez (Zaragoza, Spain) Advantages: Macular neurosensory retinal detachments (RD) that present in an atypical fashion constitute a diagnostic challenge to retinal specialists. We recommend observation when they were associated with a congenital retinal macrovessel (CRM). Fluorescein angiography (FA) proved to be valuable in establishing a definitive diagnosis. Methods: An...

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Exsudative Retinopathy in Incontinentia Pigmenti

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Complete Resolution of Multifocal Serous Neurosensory Retinal Detachments with Corticosteroids

Ester Nuñez, Maria Rojo, Francisco J. Ascaso, Enrique Mínguez (Zaragoza, Spain) Advantages: A successful treatment with corticosteroids in a rare case of bilateral multiple serous neurosensory retinal detachments are presented. Methods: A 51-year-old woman complained of sudden onset of bilateral metamorphopsia and discromatopsia. On initial examination, she presented with bilateral macular sensory retinal detachment simulating to what...

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The New Method for Management of Long-Standing Exudative Retinal Detachment in ARMD Cases

Rodin Stanislav, Aslanova Veronika Advantages: The management of long-standing exudative retinal detachment in cases with ARMD with this technique allows to decrease significantly (almost halving) retinal thickness in posterior pole in short terms and is effective in visual recovery. Also, it is not expensive out-patient procedure. Methods: Intravitreal injection of C3F8 (0,6 ml) was performed under topical instillation anesthesia in...

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Bilateral Retinal Serous Detachment in HELLP Syndrome

Ruiz Bilbao SM, Anglada Escalona JR, Broc Iturralde L, Vázquez Dorrego XM. Advantages: Pre-eclampsia is a known cause of retinal serous detachment. HELLP syndrome curses with serous retinal detachment in 0,9% of cases. Methods: A 28 years old, 25 weeks primigravid patient was admitted to the emergency room because of lumbar back pain. Her medical record was positive for diabetes mellitus (without known retinopathy), celiac disease and...

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Serous Retinal Detachment in Systemic Lupus Erythematosus

Wai-Ching Lam, MD (Toronto, Canada), Feisal A. Adatia, MD (Toronto, Canada), Robert G. Devenyi, MD (Toronto, Canada) PURPOSE: Systemic Lupus Erythematosus (SLE) is an immune mediated multiorgan disease in which the eye is commonly involved. Serous retinal detachments (RD) are uncommon, we present three cases of serous RD with different manifestations and etiologies. Recognition of clinical characteristics and ophthalmic findings can help...

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