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An 11-month-old girl with a retinal detachment
Digital Journal of Ophthalmology 2019
Volume 25, Number 2
May 11, 2019
DOI: 10.5693/djo.03.2019.02.004
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Vinay Badhwar, MBBS, BSc | Barts and The London, School of Medicine and Dentistry, London, United Kingdom
Damien Yeo, MBBS, FRCOphth | Royal London Hospital, Barts Health Trust; Great Ormond Street Hospital for Children NHS Trust, London, United Kingdom
Samruddhi Joshi, BSc | Barts and The London, School of Medicine and Dentistry, London, United Kingdom
Sui Chien Wong, MBBS, FRCSEdOphth, MRCOphth, PGC | Great Ormond Street Hospital for Children NHS Trust, London, United Kingdom; Moorfields Eye Hospital NHS Foundation Trust, London, United Kingdom; Royal Free Hospital, London, United Kingdom
Ashwin Reddy, MD, MBBChir, FRCOphth | Royal London Hospital, Barts Health Trust; Moorfields Eye Hospital NHS Foundation Trust,London, United Kingdom



Treatment
The patient was treated with laser ablative therapy for the abnormal blood vessels. Long burns were aimed at the abnormal blood vessels, using a 532 nm wavelength laser guided by the fundus fluorescein angiogram. In total, 1,361 shots (of 200-300 mW, with an average duration of 300 ms) were administered in areas of nonperfusion and over the abnormal blood vessels. She did not receive an intravitreal injection of antivascular endothelial growth factor (anti-VEGF).

A reduction in subretinal fluid was noted 3 months after laser treatment. At the final follow-up, 7 months after the procedure, the child could not fixate with this eye. A white cataract in the affected eye prevented visualization of the fundus. However, intraocular pressure remained normal, and there was no iris rubeosis. Current treatment for the affected eye is atropine 1% eye drops once a day for comfort. The right eye remains normal.
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