QUICK LINKS
Dr. Rajiv Pardasani
Title: Managing Chronic Retinal Detachment with Cyst : The Efficacy of Scleral Buckling
Description: A 26-year-old male presented with defective vision in his left eye for one year. His best-corrected visual acuity (BCVA) was -6/12p, and he was diagnosed with nasal retinal detachment associated with a retinal cyst. A prior barrage laser had been performed elsewhere around the cyst. Wide-field fundus imaging of the left eye revealed a well-defined retinal cyst in the superonasal quadrant, while clinical examination confirmed superonasal retinal dialysis with a macula-on detachment. He underwent scleral buckle surgery (287) with a 240 band, cryotherapy, and subretinal fluid drainage. At the three-month postoperative follow-up, the retina was well settled with good buckle height, and his BCVA improved to -6/12.
Dr. Jigu S Krishn
Title: Spotlight on sight.
Description: Capillary hemangiomas are red or pink tumors arising from the inner retinal layers, protruding into the vitreous as endophytic tumors. Peripheral lesions are often linked to arteriovenous shunting, while exophytic tumors originate from the outer retinal layers, typically in the juxtapapillary area, without shunting. These lesions can mimic optic nerve edema and cause vision loss due to macular edema and hard exudates. Fluorescein angiography helps differentiate lesions and detect shunting, while OCT monitors fluid and classifies tumor types. Small, non-exudative lesions may be observed, but larger tumors often require laser, photodynamic therapy, or radiotherapy. Anti-VEGF agents show limited but potential benefit.
Dr. Vani Sankanagoudar
Title: ND: YAG laser hyaloidotomy for premacular subhyaloid hemorrhage
Description: A 24-year-old man presented with sudden loss of vision in left eye following history of rigorous coughing. Visual acuity in RE was 6/6, LE was 6/60p. Fundoscopy showed bilateral multiple small intraretinal hemorrhages with LE large premacular subhyaloid hemorrhage just covering the fovea suggestive of bilateral valsalva retinopathy changes. Nd:YAG laser hyaloidotomy was performed to left eye the same day (A250; 2mJ;4 SHOTS). Visual acuity improved to 6/9 immediately following the procedure. After 1 week, the subhyaloid hemorrhage had completely cleared with dispered intragel hemorrhage in the inferior vitreous cavity with visual acuity of 6/6 in left eye.
