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De Francesco S. 1, Hadjistilianou T. 2, Motolese I. 2, Esposti G. 2, Batisti C. 2, Esposti P. 2, Hadjistilianou T. 1
1 Referral Center for Retinoblastoma, University of Siena, Siena, Italy;
2 Department of Ophtalmology, University of Siena, Siena, Italy
The aim of this paper is to report on the results of vitreous surgery for late retinal detachment (RD) after successful treatment of retinoblastoma. More than 500 patients have been referred to our Institution from 1952 to 2010; 286 patients were conservatively treated (in one or both eyes). Only one patient with late retinal detachment was identified. She had undergone cryotherapy, photocoagulation and chemotherapy at the age eight months. Complete remission was achieved after 30 months. Nineteen years later she was referred to our Department for decreased visual acuity. Preoperative visual acuity was inferior than 1/10. It improved postoperatively. After vitrectomy, the retina remained completely attached. A rhegmatogenous RD should be considered if it occurs late in patients with otherwise stable, treated retinoblastoma. Tumor reactivation must be excluded carefully. Vitreous surgery can be used to repair the RD successfully and improve vision.