Dr.Ankur Sinha, Dr.Ajay Pal Singh Jhinja
Traumatic retinal detachment & angle recession glaucoma are few of the most disastrous consequences of blunt trauma. The problem arises when they coexist. The options available to manage dialysis include explants or vitreoretinal surgery. Explant is favored in young adults as it causes minimum disturbance to physiology & need for oil removal avoided. However in presence of explant, intractable angle recession glaucoma is difficult to control & filter surgery is expected to fail, hence shunt surgery is a viable option. Even if one chooses a vitreo-retinal surgery with oil injection, filter is at risk with further mandatory vitreo-retinal interventions. We demonstrate successful coalition of vitreo-retinal & glaucoma surgeon to perform sectoral buckling for RD, valved shunt for glaucoma & limited 23 G vitrectomy to reduce IOP to felicitate shunt surgery in a child & avoiding multiple General Anesthesia. At 6 months follow the BCVA is 6/36 (pre op 1/60), IOP of 14 mmHg and a flat retina