Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2022, Vol. 36 ›› Issue (6): 51-55.doi: 10.6040/j.issn.1673-3770.0.2022.370

• 临床研究 • Previous Articles    

Retinal detachment with concurrent annular fibrous hyperplasia around the ciliary body after congenital cataract surgery: a case report and literature review

YANG Xuepeng, SHI Long, CUI Yan   

  1. Department of Ophthalmology, Qilu Hospital of Shandong University, Jinan 250012, Shandong, China
  • Published:2022-12-07

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Abstract: Objective To report the clinical features and treatment of retinal detachment, combined with annular fiber hyperplasia around the ciliary body, in a patient who underwent congenital cataract surgery. We also reviewed the pathological mechanism of its formation. Methods The diagnosis and treatment of this case were reviewed, and the clinical file and related literature were reviewed. Results The intraocular lens was removed intraoperatively, and a vitrectomy was performed. Silicone oil was injected after stripping and removing the annular proliferator to reset the retina. After three months, the silicone oil was removed, and the intraocular lens was suspended. Then the patient's retina was flattened, and the intraocular pressure normalized. Conclusion Retinal detachment is a severe complication of congenital cataract surgery. Patients with annular fibrous hyperplasia around the ciliary body may present with chronic hypotony and corneal zonal degeneration. Surgical management should aim to maintain intraocular pressure and improve visual acuity.

Key words: Congenital cataract, Retinal detachment, Annular fibrous hyperplasia, Hypotony

CLC Number: 

  • R779.66
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