Retinal reattachment achieved by vitrectomy in two cases of bullous exudative retinal detachment

Two patients presented to us with bullous exudative retinal detachment due to Sturge-Weber syndrome and Coats' disease. We performed vitrectomy, including internal drainage of suberetinal fluid and extensive endolaser photocoagulation of abnormal retinal vessels and choroidal hemangioma because external drainage of suberetinal fluid and laser photocoagulation failed to achieve reattachment of the retina. Although the degree of improvement in visual acuity was limited because of longstanding macular detachment, anatomical success was achieved. The results in these 2 cases indicate that vitrectomy can be considered for patients with bullous exudative retinal detachment before or as soon as it involves the macula.