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مقاله
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Abstract
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Title:
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Successful Treatment of Traumatic Rhegmatogenous Retinal Detachment Associated with Retinal Dialysis and Large Macular Hole by Scleral Buckling: A Case Report
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Author(s):
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Ahmad Mirshahi MD; Mojtaba Abrishami MD
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Presentation Type:
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Poster
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Subject:
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Posterior Segment and Uveitis
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Others:
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Presenting Author:
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Name:
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Mojtaba Abrishami
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Affiliation :(optional)
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Eye Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran
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E mail:
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mojtaba_abrishami@yahoo.com
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Phone:
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Mobile:
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09129377278
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Purpose:
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Rhegmatogenous Retinal Detachment (RRD) associated with macular holes (MH) are mostly treated by pars plana vitrectomy (PPV). Hereby, we report a case of RRD associated with large MH successfully attached by scleral buckling.
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Methods:
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In an interventional case report, we present a 32 years old man with a history of blunt trauma was referred with sudden visual loss in his right eye and visual acuity was as hand motion in the first visit. In fundus exam, a 6 to 11 o’clock temporal macula off RRD, large MH, temporal dialysis and vitreous hemorrhage was seen.
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Results:
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As he was young and phakic, scleral buckling with 360 degrees 240 band and temporal 180 degrees 276 tire with high buckle effect and cryopexy of the retinal dialysis was performed. One month after operation retina was totally attached and visual acuity was improved to 20/100.
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Conclusion:
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Scleral buckling may effective in treatment of traumatic RRDs associated by MH. By decreasing vitreous tractional forces and complete support of peripheral breaks, retinal detachments and also macular holes may be attached. Although, in our case, vitreous hemorrhage and large macular hole with typical temporal RRD may encourage the surgeon to PPV, an encircling scleral buckling as an external ocular surgery was successful for the patient and improved his vision.
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Attachment:
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