Encircling scleral buckling as sole therapy for retinal detachment and neovascularization in familial exudative vitreo retinopathy.
Karishma Tendulkar, Vishma Prabhu, Prathiba Hande et al.
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Case in brief
A 16-year-old girl with high myopia presented with four days of reduced vision in her right eye. Examination showed subtotal retinal detachment, inferior neovascularization, peripheral avascular retina, and a thick subretinal gliotic band; the fellow eye had peripheral avascularity but remained attached. Fluorescein angiography showed extensive peripheral avascularity and leaking neovascular fronds, supporting familial exudative vitreoretinopathy (FEVR). Encircling scleral buckling was performed without subretinal fluid drainage or cryotherapy. Over six weeks, the retina reattached and neovascularization regressed without peripheral laser treatment.
What made this case unusual
In this FEVR-associated detachment, encircling scleral buckling alone was followed by both retinal reattachment and regression of neovascularization, without adjunctive peripheral laser ablation.
Diagnostic / clinical pearl
Peripheral avascularity in both eyes, together with leaking neovascularization and retinal detachment, supported FEVR; angiography helped characterize the vascular findings.