Double peeling and endolaser ablation for retinal detachment in von Hippel-Lindau disease.

Abstract

Purpose:

To describe a successful surgical approach to macula-off retinal detachment in von Hippel-Lindau disease.

Observations:

A 28-year-old male with a history of von Hippel-Lindau disease presented to us with significant worsening of vision in his single functional eye after undergoing a cryotherapy and laser session for multiple retinal capillary hemangioblastomas. Given a tractional and exudative retinal detachment involving macula, we performed a vitrectomy, epiretinal membrane peeling, internal limiting membrane peeling, endophotocoagulation of all hemangioblastomas, and fluid-air exchange. Over 30 days, there was total resolution of retinal detachment and improvement of his vision. At 13-month follow-up, the patient exhibited anatomical and functional stability.

Conclusions and Importance:

Double peeling and endolaser ablation may be an alternative treatment approach for patients with tractional and exudative retinal detachment in von-Hippel-Lindau disease.

• Authors: Felipe Mallmann, Marcelo Krieger Maestri
• Journal: American journal of ophthalmology case reports (Am J Ophthalmol Case Rep) Vol. 28 Pg. 101728 (Dec 2022) ISSN: 2451-9936 [Electronic] United States
• PMID: 36312791 (Publication Type: Case Reports)
• Copyright: © 2022 The Authors.