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- Title
Vitrectomy with Silicone Oil Tamponade and Single-Dose Intravitreal Methotrexate for Recurrent Retinal Detachment with Proliferative Vitreoretinopathy.
- Authors
Babel, Adrian; Chin, Eric K.; Almeida, David R.P.
- Abstract
Our case emphasizes the approach of a single-dose of intraoperative methotrexate (MTX) – applied directly into silicone oil – to arrest the anomalous progression of proliferative vitreoretinopathy (PVR). A 78-year-old male presented with severe vision loss secondary to a pseudophakic macula-off rhegmatogenous retinal detachment oculus sinister (OS). He was initially treated with primary pars plana vitrectomy and intraocular gas; however, the patient developed recurrent macula-off retinal detachment complicated by proliferative vitreoretinopathy OS. Subsequent management involved vitrectomy with membrane removal, silicone oil tamponade, and adjuvant intravitreal MTX. The patient had an uneventful postoperative recovery with a dramatic vision improvement after silicone oil removal OS. Here, we highlight the use of silicone oil tamponade with single-dose adjuvant MTX for the management of complex retinal detachment associated with proliferative vitreoretinopathy.
- Subjects
RETINAL detachment; VITRECTOMY; PROLIFERATIVE vitreoretinopathy; METHOTREXATE; VISION disorders; SILICONES; PARS plana
- Publication
Case Reports in Ophthalmology, 2022, Vol 13, Issue 3, p777
- ISSN
1663-2699
- Publication type
Case Study
- DOI
10.1159/000526091