Vitreo Retinal Diseases – II

Incidence of rhegmatogenous retinal detachment has been reported as 6.3-17.9 per 100,000 populations while in Indian population it has been reported around 3.9 per 100,000 Indians.

Complete attachment of the complicated retinal detachment (RD) due to any etiology is the most challenging task for the retinal surgeon. One of the most common reason for such difficulty is the presence of proliferative vitreoretinopathy (PVR). 

The purpose of this study is to represent Internal Limiting Membrane (ILM) peeling in repair of retinal detachment due to Proliferative Vitreoretinopathy (PVR). The purpose is to analyze the effect of ILM (internal limiting membrane) peeling on anatomical and visual outcomes of vitrectomy with and without ILM (internal limiting membrane) peeling for rhegmatogenous retinal detachment, especially regarding postoperative development of epiretinal membrane.

Childhood ocular trauma is the most common cause of acquired unilateral blindness1. Post-traumatic endophthalmitis (PTE) is one of the devastating complications following ocular trauma.

Early vitrectomy in fungal endophthalmitis does not alter the visual and structural outcome

To evaluate optical coherence tomography (OCT),fundus fluorescein angiography(FFA) and indocyanine green angiography(ICG) features of extra large pigment epithelial detachment(X large PED) and assess their response to treatment.

Retinopathy of prematurity is one of the preventable cause of childhood blindness. It was first described by Terry in 1942 as Retrolental fibroplasia [1]with implication of oxygen therapy as the causative agent.It is a disorder of immature retinal blood vessels in immature retina of preterm infants. Several associated risk factors hampers the growth of this immature retinal blood vessels & lead to sequela of ROP in some of this babies.

Endophthalmitis, defined as inflammation of one or more coats of the eye and adjacent cavities, is an uncommon potentially sight-threatening condition that varies geographically in incidence and in cause.

In recent years, the development of anti-vascular endothelial growth factor (VEGF) agents that can be intravitreallyinjected has revolutionized the therapeutic approach for wet age-related macular degeneration (AMD).

We owe our patients a scientific answer about the outcome of the surgery we propose to do  Anatomical closure  may not always result in visual success in macular hole surgery. Vision loss can also occur. International literature reports show hole closure rates vary from 80-92%, visual success in  40-83% & visual loss in 8-26% cases.