[Vitrectomy for retinal proliferation in childhood following hemolytic uremic syndrome]

Ophthalmologe. 2016 Jul;113(7):596-8. doi: 10.1007/s00347-015-0157-9.
[Article in German]

Abstract

The formation of retinal membranes can occur due to a variety of reasons but they are most commonly idiopathic due to the aging process. In addition, epiretinal and subretinal membranes can be formed after severe infections. The present case description shows the appearance of a retinal membrane after hemolytic uremic syndrome caused by Shiga toxin positive E. coli. The question arose whether the patient would benefit from vitrectomy with membrane peeling because of the presence of both epiretinal and subretinal gliotic changes. After the operation on the more severely affected right eye a morphological improvement could be achieved so that an operation on the left eye was also recommended. Judging by the course of this case vitrectomy with membrane peeling seems to be a useful instrument even for the simultaneous presence of subretinal and epiretinal membranes.

Keywords: Membrane peeling; Microangiopathy; Retina; Retinal gliosis; Retinal hemorrhages.

Publication types

  • Case Reports

MeSH terms

  • Child, Preschool
  • Epiretinal Membrane / diagnosis
  • Epiretinal Membrane / surgery*
  • Escherichia coli Infections / complications
  • Escherichia coli Infections / diagnosis
  • Fluorescein Angiography
  • Follow-Up Studies
  • Hemolytic-Uremic Syndrome / complications*
  • Hemolytic-Uremic Syndrome / diagnosis
  • Humans
  • Infant
  • Magnetic Resonance Imaging
  • Male
  • Postoperative Complications / diagnosis
  • Retinal Neovascularization / diagnosis
  • Retinal Neovascularization / surgery*
  • Shiga-Toxigenic Escherichia coli
  • Tomography, Optical Coherence
  • Tomography, X-Ray Computed
  • Visual Acuity
  • Vitrectomy*