[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address Please contact the publisher to request reinstatement.
[Skip to Content Landing]
October 1991

Vitreous Surgery for Retinal Detachment Associated With Choroidal Coloboma

Author Affiliations

From the Retina Research Foundation, St Mary's Hospital and Medical Center, San Francisco, Calif (Dr McDonald); the Jules Stein Eye Institute and Department of Ophthalmology, UCLA (Dr Lewis); Retinal Vascular Unit, Wills Eye Hospital, Thomas Jefferson University, Philadelphia, Pa (Dr Brown); and St Lukes Hospital and Medical Center, Phoenix, Ariz (Dr Sipperley).

Arch Ophthalmol. 1991;109(10):1399-1402. doi:10.1001/archopht.1991.01080100079046

• We report the results of vitreous surgery in seven eyes with retinal detachments caused by retinal breaks at the margin of, or within, a choroidal coloboma. All seven eyes (100%) were reattached; visual acuities in five (71%) of the seven eyes improved from preoperative levels. Vitrectomy was combined with air-fluid exchange and endodrainage through preexisting retinal breaks or planned retinotomies in all but one of the cases. Part or all of the rim of the choroidal coloboma in six eyes underwent endophotocoagulation. The two eyes that did not experience postoperative visual improvement underwent intraoperative endolaser treatment 360° around the optic nerve. If peripapillary endophotocoagulation is performed, especially through the papillomacular bundle, nerve fiber damage may occur and prevent visual recovery, despite retinal reattachment. For eyes with retinal detachment associated with choroidal colobomas involving the optic nerve, postoperative laser treatment through the papillomacular bundle may be preferable.

Michels RG, Wilkinson CP, Rice TA. Retinal Detachment . St Louis, Mo: CV Mosby Co; 1990:724-728.
Spencer WH. Ophthalmic Pathology: An Atlas and Textbook . Philadelphia, Pa: WB Saunders Co; 1986:1415.
Jesberg DO, Schepens CL.  Retinal detachment associated with coloboma of the choroid . Arch Ophthalmol . 1961;65:163-173.Article
Wang K, Hilton GF.  Retinal detachment associated with coloboma of the choroid . Trans Am Ophthalmol Soc . 1985;83:49-62.
Schepens CL. Retinal Detachments and Allied Diseases . Philadelphia, Pa: WB Saunders Co; 1983:615.
Patraik B, Kalsi R.  Retinal detachment with coloboma of the choroid . Indian J Ophthalmol . 1981;29:345-349.
Sakai T.  Three cases of retinal detachment associated with congenital coloboma of the choroid . Folia Opthalmol Jpn . 1968;19:808-812.
Zhang FK.  Congenital coloboma of the choroid with retinal detachment . Tianjin J Med . 1978;4:173-178.
Bao LL.  Congenital coloboma of the choroid with retinal detachment . Chinese J Ophthalmol . 1980;16:165-169.
Dufour R.  Survey of statistics on juvenile detachments . Mod Probl Ophthalmol . 1969;8:358-367.
Freeman HM, Tolentino FI. Atlas of Vitreoretinal Surgery . Stuttgart, Germany: Thieme Medical Publishers; 1990:216.
Gonvers M.  Temporary use of silicone oil in the treatment of special cases of retinal detachment . Ophthalmologica . 1983;187:202-207.Article
Sheta SM, Hida T, McCuen BW II.  Experimental transvitreal cyanoacrylate retinopexy through silicone oil . Am J Ophthalmol . 1986;102:717-722.
McCuen BW II, Hida T, Sheta SM.  Experimental transvitreal cyanoacrylate retinopexy . Am J Ophthalmol . 1986;102:199-207.Article
McCuen BW II, Hida T, Sheta SM, et al.  Transvitreal cyanoacrylate retinopexy in the management of complicated retinal detachment . Trans Am Ophthalmol Soc . 1987;85:195-207.
Hida T, Sheta SM, Prora AD, McCuen BW II.  Experimental transvitreal cyanoacrylate retinopexy in a primate model . Am J Ophthalmol . 1987;183:782-786.