| WHAT
IS THE CLINICAL COURSE? |
|
During follow-up, the proband developed increasing retinal detachment
and epiretinal fibrosis in the inferonasal lesion OS.
|
| HOW
SHOULD THE PATIENT BE MANAGED? |
| As
a result of progressive exudative retinal detachment, the lesion
was treated with argon green indirect
laser ophthalmoscope. Treatment was applied for
3 rows around the lesion's perimeter and directly over the lesion
to create confluent white burns. Six weeks later, the exudative
retinal detachment had regressed, and a fibrous scar was present
in the treatment area (Figure 3 and
Figure 4). A previously unrecognized
one-disc diameter area of telangiectasia was noted in the inferotemporal
periphery posterior to the equator. This lesion was photocoagulated
with the argon green indirect laser ophthalmoscope. At the same
time laser photocoagulation was applied to the telangiectatic lesions
in the right eye. Closure of all the abnormal retinal vessels was
obtained. Postoperatively the patient developed vitreous hemorrhage
OD in association with posterior vitreous detachment. The hemorrhage
cleared spontaneously with complete regression of the telangiectasias,
retinal detachment, and lipid exudate. |
|
