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We describe a case of recurrent retinal detachment due to postoperative proliferative vitreoretinopathy and spontaneous reattachment. A 48-year-old male who had undergone right cataract surgery 6 months earlier in a different centre presented with bilateral vision deficiency. Fundus examination revealed bilateral rhegmatogenous retinal detachment. We performed pars plana vitrectomy of the right eye, with 16% perfluoropropane gas endotamponade and pneumatic retinopexy of the left eye, with sulphur hexafluoride gas used as the endotamponade agent. Proliferative vitreoretinopathy and recurrent retinal detachment of the right eye occurred 9 weeks postoperatively. The retina reattached spontaneously in approximately 4 weeks. This case demonstrates that the retina can reattach spontaneously within a few weeks after spontaneous separation of tractional forces in recurrent retinal detachment due to post-vitrectomy proliferative vitreoretinopathy. [ABSTRACT FROM AUTHOR]

Purpose: To investigate the clinical features of spontaneous reattachment of rhegmatogenous retinal detachment (SRRRD) with diffuse retinal pigmentary changes. Methods: This retrospective study included patients diagnosed with SRRRD. The diagnosis of SRRRD was made based on characteristic fundus findings, such as diffuse retinal pigmentary clumpings, retinal pigmentary atrophy, and convex lesion margins. The clinical features of SRRRD were also evaluated. In addition, optical coherence tomography (OCT) images and follow-up data were analyzed. Results: Twenty patients were included in the study. All the patients showed unilateral involvement. SRRRD predominantly involved the inferior or temporal retina (90.0%). On OCT, severe disruption of the outer retinal layers was noted in the region of SRRRD. A subretinal gliosis band was noted in 11 patients (55.0%), and an epiretinal membrane (ERM) was noted in nine patients (45.0%). In 18 patients, a mean follow-up of 24.9 ± 29.2 months was performed. During the follow-up period, no definite retinal changes were noted on fundus examination or OCT. Conclusions: SRRRD usually involves the inferior or temporal retina. Although severe disruption of the retinal microstructure is noted in the involved region, the condition is likely to be stable. However, long-term follow-up is required to identify progression of the ERM. [ABSTRACT FROM AUTHOR]

Abstract Background Graft detachment is a complication of non-Descemet stripping automated endothelial keratoplasty (nDSAEK). We report a case of spontaneous reattachment of an extensively dislocated graft after nDSAEK. Case presentation A 54-year-old male underwent penetrating keratoplasty (PKP) for keratoconus in his left eye in 2001. Following graft opacity due to rejection, a second PKP was implemented in May 2014. The graft was kept in good condition after the reoperation and yet, visual acuity (VA) declined due to cataract. PEA+IOL was then performed in May 2015. Because edema appeared in the graft 6 months after the PEA+IOL, nDSAEK was carried out in May 2016. Although the donor graft well attached immediately after the nDSAEK, the graft was almost completely dislocated 3 h later except a temporal part. Air was reinjected into the anterior chamber on the following day and the detachment was resolved. Despite of the treatment, about 1/5 of the graft remained detached and the detachment deteriorated to 3/4 of the graft 9 days later. Because the patient could not decide whether to undergo another operation immediately, we decided to follow him up first and found that the partially detached graft reattached spontaneously 1 month later during the follow-up. Although the cornea had a mild edema remaining in the superior temporal area, his BCVA improved to 1.0. Three months later, the graft remained in position and the cornea kept its transparency. Conclusions Spontaneous reattachment was observed during the follow-up in a case that had shown a comparatively extensive graft dislocation after nDSAEK.

Background: Graft detachment is a complication of non-Descemet stripping automated endothelial keratoplasty (nDSAEK). We report a case of spontaneous reattachment of an extensively dislocated graft after nDSAEK.Case Presentation: A 54-year-old male underwent penetrating keratoplasty (PKP) for keratoconus in his left eye in 2001. Following graft opacity due to rejection, a second PKP was implemented in May 2014. The graft was kept in good condition after the reoperation and yet, visual acuity (VA) declined due to cataract. PEA+IOL was then performed in May 2015. Because edema appeared in the graft 6 months after the PEA+IOL, nDSAEK was carried out in May 2016. Although the donor graft well attached immediately after the nDSAEK, the graft was almost completely dislocated 3 h later except a temporal part. Air was reinjected into the anterior chamber on the following day and the detachment was resolved. Despite of the treatment, about 1/5 of the graft remained detached and the detachment deteriorated to 3/4 of the graft 9 days later. Because the patient could not decide whether to undergo another operation immediately, we decided to follow him up first and found that the partially detached graft reattached spontaneously 1 month later during the follow-up. Although the cornea had a mild edema remaining in the superior temporal area, his BCVA improved to 1.0. Three months later, the graft remained in position and the cornea kept its transparency.Conclusions: Spontaneous reattachment was observed during the follow-up in a case that had shown a comparatively extensive graft dislocation after nDSAEK. [ABSTRACT FROM AUTHOR]

Corneal oedema following cataract surgery during the immediate postoperative period is a common clinical problem, often due to endothelial injury due to multi-factorial mechanisms. Descemet’s membrane detachment (DMD) is an underrecognized cause of postoperative corneal oedema. The understanding of the pathogenic mechanisms of DMD is still evolving. We report a case of DMD in a 64-year-old female presenting with immediate postoperative corneal oedema, diagnosed and monitored using anterior segment optical coherence tomography (AS OCT). Various mechanisms have been proposed for surgically induced DMD. We believe that hydration of surgical wounds at the end of surgery can inadvertently cause DMD, if DMD has not been recognized previously. Surgeons should be alert to this cause of DMD when hydrating surgical wounds. [ABSTRACT FROM PUBLISHER]

The article presents a case study of a 38-year-old man who was diagnosed of spontaneous reattached rhegmatogenous retinal detachments. A vasoproliferative tumor of the retina (VPTR) was detected on patient in association with retinal detachments. It concludes that spontaneous retinal detachments and VPTRs have a significant association which can be found even in healthy individuals.