Display options
Cite
Brent AJ, El-Khayat AR, Peart SAM, et al. A Case Report of Conservative Management for a Roller-Coaster-Related Vitreous Haemorrhage. Ophthalmol Ther. 2018;7(1):191-195doi: 10.1007/s40123-018-0124-z.
Brent, A. J., El-Khayat, A. R., Peart, S. A. M., & Banerjee, S. (2018). A Case Report of Conservative Management for a Roller-Coaster-Related Vitreous Haemorrhage. Ophthalmology and therapy, 7(1), 191-195. https://doi.org/10.1007/s40123-018-0124-z
Brent, Alexander James, et al. "A Case Report of Conservative Management for a Roller-Coaster-Related Vitreous Haemorrhage." Ophthalmology and therapy vol. 7,1 (2018): 191-195. doi: https://doi.org/10.1007/s40123-018-0124-z
Brent AJ, El-Khayat AR, Peart SAM, Banerjee S. A Case Report of Conservative Management for a Roller-Coaster-Related Vitreous Haemorrhage. Ophthalmol Ther. 2018 Jun;7(1):191-195. doi: 10.1007/s40123-018-0124-z. Epub 2018 Mar 09. PMID: 29524202; PMCID: PMC5997596.
Copy Download .nbib Format: NLM
Share it on

Ophthalmol Ther. 2018 Jun;7(1):191-195. doi: 10.1007/s40123-018-0124-z. Epub 2018 Mar 09.

A Case Report of Conservative Management for a Roller-Coaster-Related Vitreous Haemorrhage.

Ophthalmology and therapy

Alexander James Brent, Abdul R El-Khayat, Shamfa A M Peart, Somnath Banerjee

Affiliations

  1. Ophthalmology Department, Leicester Royal Infirmary, Infirmary Square, Leicester, UK. [email protected].
  2. Ophthalmology Department, Leicester Royal Infirmary, Infirmary Square, Leicester, UK.

PMID: 29524202 PMCID: PMC5997596 DOI: 10.1007/s40123-018-0124-z

Abstract

The purpose of this report is to describe the case and management of an unexplained vitreous haemorrhage that occurred after repeated roller-coaster riding. The authors inadvertently demonstrate the value of observation over immediate surgery in certain situations and review the literature on vitreoretinal and other ocular complications after roller-coaster riding. A 26-year-old male presented 12 h after riding high-velocity roller-coasters with a left vitreous haemorrhage. A hazy view of the retina and B-scan revealed a bullous area of superior-temporal retinal lifting. A diagnosis of a presumed macula-on retinal detachment was made and the patient was listed for a pars plana vitrectomy retinal detachment repair. An abnormal clotting result, which was subsequently found out to be erroneous, ultimately delayed the procedure. During this delay the vision and retinal view improved to an extent whereby the diagnosis of a retinoschisis with an intraretinal cyst was made and surgery was avoided. The patient regained 6/6 vision, without the need to undergo surgery. Historically the management of an unexplained vitreous haemorrhage was observation with serial B-scans. The current evidence and practice for treating unexplained vitreous haemorrhage have since moved towards early surgical intervention. The authors highlight that despite the current trend, a place remains for conservative management for selected cases.

Keywords: Pars plana vitrectomy; Retinoschisis; Roller-coaster; Vitreous haemorrhage

References

  1. Retin Cases Brief Rep. 2011 Spring;5(2):128-9 - PubMed
  2. Am J Ophthalmol. 2010 Oct;150(4):529-33 - PubMed
  3. Ulus Travma Acil Cerrahi Derg. 2011 Jan;17 (1):75-8 - PubMed
  4. Retin Cases Brief Rep. 2016 Summer;10 (3):259-62 - PubMed
  5. Arq Bras Oftalmol. 2016 Nov-Dec;79(6):414-416 - PubMed
  6. Eye (Lond). 1994;8 ( Pt 3):358-60 - PubMed
  7. Clin Ophthalmol. 2017 Jul 27;11:1365-1370 - PubMed
  8. N Engl J Med. 2003 Sep 11;349(11):1094-6 - PubMed
  9. Ophthalmology. 2001 Dec;108(12):2273-8 - PubMed
  10. Clin Exp Optom. 2009 Sep;92(5):447-8 - PubMed
  11. Am J Ophthalmol. 2000 Oct;130(4):527-8 - PubMed

Publication Types