| HOW
SHOULD THE PATIENT BE TREATED? |
| Because
of progressive exudative retinal detachment, the lesion was treated
with the
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
1-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. |
|
