Medical Dialogues
  • Dermatology
Login Register
This site is intended for healthcare professionals only
Login Register
  • Medical Jobs
  • Medical Matrimony
  • MD Brand Connect
  • MDTV
    • Anesthesia
    • CTVS
    • Cardiology
    • Critical Care
    • Dentistry
    • Dermatology
    • Diabetes and Endocrinology
    • Diet and nutrition
    • ENT
    • Gastroenterology
    • Health Dialogues
    • Health News today
    • Health Shorts
    • Health Updates
    • Health video of the day
    • Laboratory Medicine
    • Latest Videos
    • Latest Webinars
    • MD shorts
    • Medical News Today
    • Medical Updates
    • Medical Video of the day
    • Medicine
    • Medico Legal Update
    • Nephrology
    • Neurology and Neurosurgery
    • Obstetrics and Gynaecology
    • Oncology
    • Ophthalmology
    • Orthopaedics
    • Pediatrics & Neonatology
    • Psychiatry
    • Pulmonology
    • Radiology
    • Surgery
    • Top Videos
    • Urology
Medical Dialogues
  • Medical News
      • Anesthesiology
      • Cardiology and CTVS
      • Critical Care
      • Dentistry
      • Dermatology
      • Diabetes and Endocrinology
      • ENT
      • Gastroenterology
      • Medicine
      • Nephrology
      • Neurology
      • Obstretics-Gynaecology
      • Oncology
      • Ophthalmology
      • Orthopaedics
      • Pediatrics-Neonatology
      • Psychiatry
      • Pulmonology
      • Radiology
      • Surgery
      • Urology
      • Laboratory Medicine
      • Diet
      • Nursing
      • Paramedical
      • Physiotherapy
  • Health news
      • Doctor News
      • Government Policies
      • Hospital & Diagnostics
      • International Health News
      • MCI News
      • Medical Organization News
      • Medico Legal News
      • NBE News
      • NMC News
  • Medical Guidelines
      • Anesthesiology
      • Cardiology and CTVS
      • Critical Care
      • Dentistry
      • Dermatology
      • Diabetes and Endocrinology
      • ENT
      • Gastroenterology
      • Medicine
      • Nephrology
      • Neurology
      • Obstretics-Gynaecology
      • Oncology
      • Ophthalmology
      • Orthopaedics
      • Pediatrics-Neonatology
      • Psychiatry
      • Pulmonology
      • Radiology
      • Surgery
      • Urology
      • Laboratory Medicine
      • Diet
      • Nursing
      • Paramedical
      • Physiotherapy
  • AYUSH
    • Ayurveda
    • Homeopathy
    • Siddha
    • Unani
    • Yoga
  • State News
      • Andaman and Nicobar Islands
      • Andhra Pradesh
      • Arunachal Pradesh
      • Assam
      • Bihar
      • Chandigarh
      • Chattisgarh
      • Dadra and Nagar Haveli
      • Daman and Diu
      • Delhi
      • Goa
      • Gujarat
      • Haryana
      • Himachal Pradesh
      • Jammu & Kashmir
      • Jharkhand
      • Karnataka
      • Kerala
      • Ladakh
      • Lakshadweep
      • Madhya Pradesh
      • Maharashtra
      • Manipur
      • Meghalaya
      • Mizoram
      • Nagaland
      • Odisha
      • Puducherry
      • Punjab
      • Rajasthan
      • Sikkim
      • Tamil Nadu
      • Telangana
      • Tripura
      • Uttar Pradesh
      • Uttrakhand
      • West Bengal
  • Medical Education
      • Ayush Education News
      • Dentistry Education News
      • Medical Admission News
      • Medical Colleges News
      • Medical Courses News
      • Medical Universities News
      • Nursing education News
      • Paramedical Education News
      • Study Aborad
  • Industry
    • Health Investment News
    • Health Startup News
    • Medical Devices News
    • Pharma News
    • Pharmacy Education News
  • MDTV
      • Anesthesia
      • CTVS
      • Cardiology
      • Critical Care
      • Dentistry
      • Dermatology
      • Diabetes and Endocrinology
      • Diet and nutrition
      • ENT
      • Gastroenterology
      • Health Dialogues
      • Health News today
      • Health Shorts
      • Health Updates
      • Health video of the day
      • Laboratory Medicine
      • Latest Videos
      • Latest Webinars
      • MD shorts
      • Medical News Today
      • Medical Updates
      • Medical Video of the day
      • Medicine
      • Medico Legal Update
      • Nephrology
      • Neurology and Neurosurgery
      • Obstetrics and Gynaecology
      • Oncology
      • Ophthalmology
      • Orthopaedics
      • Pediatrics & Neonatology
      • Psychiatry
      • Pulmonology
      • Radiology
      • Surgery
      • Top Videos
      • Urology
This site is intended for healthcare professionals only
LoginRegister
Medical Dialogues
LoginRegister
  • Home
  • Medical news
    • Anesthesiology
    • Cardiology and CTVS
    • Critical Care
    • Dentistry
    • Dermatology
    • Diabetes and Endocrinology
    • ENT
    • Gastroenterology
    • Medicine
    • Nephrology
    • Neurology
    • Obstretics-Gynaecology
    • Oncology
    • Ophthalmology
    • Orthopaedics
    • Pediatrics-Neonatology
    • Psychiatry
    • Pulmonology
    • Radiology
    • Surgery
    • Urology
    • Laboratory Medicine
    • Diet
    • Nursing
    • Paramedical
    • Physiotherapy
  • Health news
    • Doctor News
    • Government Policies
    • Hospital & Diagnostics
    • International Health News
    • MCI News
    • Medical Organization News
    • Medico Legal News
    • NBE News
    • NMC News
  • Medical Guidelines
    • Anesthesiology
    • Cardiology and CTVS
    • Critical Care
    • Dentistry
    • Dermatology
    • Diabetes and Endocrinology
    • ENT
    • Gastroenterology
    • Medicine
    • Nephrology
    • Neurology
    • Obstretics-Gynaecology
    • Oncology
    • Ophthalmology
    • Orthopaedics
    • Pediatrics-Neonatology
    • Psychiatry
    • Pulmonology
    • Radiology
    • Surgery
    • Urology
    • Laboratory Medicine
    • Diet
    • Nursing
    • Paramedical
    • Physiotherapy
  • Medical Education
    • Ayush Education News
    • Dentistry Education News
    • Medical Admission News
    • Medical Colleges News
    • Medical Courses News
    • Medical Universities News
    • Nursing education News
    • Paramedical Education News
    • Study Aborad
  • Industry
    • Health Investment News
    • Health Startup News
    • Medical Devices News
    • Pharma News
      • CDSCO (Central Drugs Standard Control Organisation) News
    • Pharmacy Education News
  • Case of the Day
  • Editorial
  • Home
  • Pediatrics and Neonatology
  • Pediatrics and Neonatology Cases
  • Giant retinal tear in...

Giant retinal tear in child with Marfan's syndrome: a rare ocular emergency reported in BMJ

dr anushaWritten by dr anusha Published On 2021-06-12T08:00:02+05:30  |  Updated On 2021-06-12T12:08:08+05:30
Giant retinal tear in child with Marfans syndrome: a rare ocular emergency reported in BMJ
  • Facebook
  • Twitter
  • Whatsapp
  • Telegram
  • Linkedin
  • Email
  • koo
  • Facebook
  • Twitter
  • Whatsapp
  • Telegram
  • Linkedin
  • Email
  • koo
  • Facebook
  • Twitter
  • Whatsapp
  • Telegram
  • Linkedin
  • Email
  • koo

Giant retinal tears (GRTs) are reported in 16%–18% of paediatric retinal detachments. The risk factors for GRTs include trauma, high myopia, and systemic diseases like Marfan's syndrome, sticklers syndrome, atopic dermatitis and other disorders. Parrina et al from Government Hospital, Chandigarh reported an interesting case of rhegmatogenous retinal detachment with giant retinal tear in...

Giant retinal tears (GRTs) are reported in 16%–18% of paediatric retinal detachments. The risk factors for GRTs include trauma, high myopia, and systemic diseases like Marfan's syndrome, sticklers syndrome, atopic dermatitis and other disorders.

Parrina et al from Government Hospital, Chandigarh reported an interesting case of rhegmatogenous retinal detachment with giant retinal tear in a child with marfanoid features.

A 7-year-old male child with Marfanoid habitus presented with sudden and painless decrease in the vision of the right eye . He denied any past history of similar complaints. Upon general examination, patient was tall for his age, the extremities showed abnormalities like long, thin, slender digits and genu valgum suggesting Marfanoid habitus and pectus deformities of chest and hyperflexibility of the joints in the extremities.

On ocular examination, the child had best-corrected visual acuity (BCVA) of perception of light with accurate projection of rays in right eye and 20/80 with −11.00 D spherical lens in left eye. Slip-lamp biomicroscopy revealed a clear anterior segment and no evidence of subluxation of lens. Upon fundocscopy of right eye, there was tobacco dusting in the anterior vitreous with crumpled retina obscuring the view of optic disc and leaving the large area of bare choroid .In the left eye they noted an area of lattice degeneration from 10'o clock to 3'o clock hours with few small retinal breaks .

Paediatric consultation was taken which later confirmed the provisional diagnosis of Marfan's syndrome after going through complete systemic workup. Echocardiography done to rule cardiac and valvular abnormalities was reported as normal. Facilities for genetic workup were not available at the center and parents also refused to get genetic testing done for the child from outside.

The patient underwent a combined procedure comprising scleral bucking and pars plana vitrectomy (PPV) with silicone oil tamponade with 360° endolaser in right eye. Focal laser treatment for the breaks within lattice degeneration was done in left eye.

At 4 weeks follow-up visit, the patient came with decreased vision in OS after a trivial trauma. Examination of left eye showed crumbled retina with bare choroid similar to right eye presentation in past. Hence he underwent pars plana vitrectomy (PPV) with silicone oil tamponade with 360° endolaser in the left eye.

At 6 months after parsplana vitrectomy of the right eye, the patient developed cataract for which phacoaspiration with posterior chamber intraocular lens implantation was done.

On the last follow-up examination at 9 months, child had gained the best corrected visual acuity of 20/200 in right eye and 20/80 in left eye with attached retina showing no signs of any recurrence of RRD or new breaks or silicone oil emulsification.

Marfan's syndrome is one of the rare genetic disorders with an autosomal dominant inheritance which can result in various systemic abnormalities in major organs like the skeleton, heart, aorta, eyes and lungs. Ocular complications like ectopia lentis (50%–80%) are commonly seen as compared with retinal detachment (5%–11%) in this disease. In recent times, the prognosis of paediatric retinal detachments with GRTs has improved with the advancements in vitreoretinal surgical techniques.

Authors conclude: "we would like to highlight the need for early aggressive ocular screening in children who are diagnosed with Marfan's syndrome and the need for prophylactic treatment in the unaffected eye."

Source: Sehgal P, Narang S, Chandra D. Rhegmatogenous retinal detachment with giant retinal tear in a child with Marfan's syndrome: a rare ocular emergency. BMJ Case Rep. 2021 Jun 2;14(6):e241354. doi: 10.1136/bcr-2020-241354.

marfans syndrome giant retina tear retinal detachment post-operative cataract BMJ 
Source : BMJ
dr anusha
dr anusha

    MBBS, M.D. Pediatrics

    Dr Anusha S completed her M.B.B.S from Dr. P.S.I.M.S ,Vijayawada and M.D. Pediatrics from prestigious Manipal University. Currently working as senior resident in Department of Pediatrics , Mallreddy Medical College for Women, Hyderabad. She is also actively involved in various research activities of department.

    Show Full Article
    Next Story
    Similar Posts
    NO DATA FOUND

    Editorial

    Propranolol and essential tremors: A critical review

    Propranolol and essential tremors: A critical review

    Safeguarding Mental Health of Doctors & How They Can Prevent a Burnout

    Safeguarding Mental Health of Doctors & How They Can Prevent a Burnout

    Analyzing the Role of Levofloxacin in Urinary Tract Infections-A review

    Analyzing the Role of Levofloxacin in Urinary Tract Infections-A review

    Management of Allergic Rhinitis during COVID-19 Pandemic

    Management of Allergic Rhinitis during COVID-19 Pandemic

    Role of Probiotics in recurrent bacterial vaginosis: A review

    Role of Probiotics in recurrent bacterial vaginosis: A review

    View All

    Journal Club Today

    Spinal fractures in the elderly can be prevented with simple X-rays

    Spinal fractures in the elderly can be prevented with simple X-rays

    View All

    Health News Today

    Health Bulletin 4/July/2022

    Health Bulletin 4/July/2022

    View All
    © 2022 All Rights Reserved.
    Powered By: Hocalwire
    We use cookies for analytics, advertising and to improve our site. You agree to our use of cookies by continuing to use our site. To know more, see our Cookie Policy and Cookie Settings.Ok
    X
    X