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      Clinical and Echographic Long-Term Follow-Up of a Retinal Macrocyst: A Case Report

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          Abstract

          The purpose of this paper is to report the case of a 62-year-old male diagnosed with a retinal macrocyst secondary to a long-standing retinal detachment in his right eye. At fundoscopy examination, an oval, elevated retinal lesion in the superior nasal quadrant was noted. Ultrasonography was performed, with a B-mode echography showing an oval, anechoic image and a standardized A-mode echography with a reflectivity spike higher than 98%, which was compatible with a retinal macrocyst. The patient refused surgical treatment for the retinal detachment and was followed for 14 months with stable visual acuity and no clinical or echographic changes.

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          Hemorrhagic intraretinal macrocyst: Differential diagnoses and report of an unusual case

          Pukhraj Rishi, Ekta Rishi, Pratik Ranjan Sen … (2011)
          Retinal ‘cysts’ may be single or multiple, ranging from two-to-ten disc diameters in size, and occur in eyes with longstanding retinal detachment. The authors describe a retinal macrocyst larger than ten disc diameters, with a blood-filled cavity, and its ultrasound findings. Improved retinal nourishment following retinal reattachment gradually reverses the process responsible for cystic degeneration, with the eventual collapse of the cyst (within days or weeks). Surprisingly, this giant cyst did not collapse for almost three years despite retinal reattachment. The internal mobile echogenic contents were suggestive of blood. The possible reason of blood in the cyst could be rupture of the retinal blood vessels in the cyst cavity. This could be a recurrent phenomenon, which did not allow the cyst to collapse. The Hemorrhagic Intraretinal Macrocyst needs to be differentiated from mimicking clinical conditions, namely, retinoschisis, choroidal melanoma, subretinal abscess, choroidal hemangioma, and the like. It could take up to a few years to collapse spontaneously, following successful retinal reattachment.
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            Internal Drainage of a Retinal Macrocyst With an Nd:YAG Laser to Aid Primary Retinal Reattachment

            (2009)
            Retinal macrocysts are an occasional finding in patients with long-standing retinal detachments. The cysts usually do not require any specific treatment during procedures to repair retinal detachment and resolve spontaneously after retinal reattachment. However, if the cyst is adjacent to a retinal break and prevents its closure, the retinal reattachment procedure can fail. We describe a technique using the Nd:YAG laser to perforate the retinal cyst postoperatively, which allows for subsequent break closure and retinal reattachment.
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              SURGICAL TREATMENT OF RETINAL CYSTS.

              K Pischel (1963)
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                Author and article information

                Journal
                Journal ID (publisher-id): COP
                Journal ID (pmc): COP
                Journal ID (doi): 10.1159/issn.1663-2699
                Title: Case Reports in Ophthalmology
                Publisher: S. Karger AG
                ISSN (Electronic): 1663-2699
                Publication date Subscription-year: 2014
                Publication date Collection: May – August 2014
                Publication date (Electronic): 05 June 2014
                Volume: 5
                Issue: 2
                Pages: 168-171
                Affiliations
                Instituto de Oftalmologia ‘Conde de Valenciana', Mexico City, Mexico
                Author notes
                *Juan Carlos Serna-Ojeda, MD, Instituto de Oftalmologia ‘Conde de Valenciana', Chimalpopoca 14, Mexico City 06800 (Mexico), E-Mail juanc.sernao@gmail.com
                Author information
                https://orcid.org/0000-0003-1893-4947
                Article
                Publisher ID: 363759 Pmcid ID: PMC4086044 Other ID: Case Rep Ophthalmol 2014;5:168-171
                DOI: 10.1159/000363759
                PMC ID: PMC4086044
                PubMed ID: 25028580
                SO-VID: 3acfe5b5-0ced-4faa-8be6-696ea3388ade
                Copyright © © 2014 S. Karger AG, Basel
                License:

                Open Access License: This is an Open Access article licensed under the terms of the Creative Commons Attribution-NonCommercial 3.0 Unported license (CC BY-NC) ( http://www.karger.com/OA-license), applicable to the online version of the article only. Distribution permitted for non-commercial purposes only. Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug. Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.

                History
                Page count
                Figures: 3, Pages: 4
                Categories
                Subject: Published: June 2014

                ScienceOpen disciplines: Vision sciences,Ophthalmology & Optometry,Pathology
                Keywords: A-mode echography,B-mode echography,Retinal macrocyst,Retinal detachment
                Data availability:
                ScienceOpen disciplines: Vision sciences, Ophthalmology & Optometry, Pathology
                Keywords: A-mode echography, B-mode echography, Retinal macrocyst, Retinal detachment

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