Nov 30, 2020

Retina - sensory membrane

47 yr old operated for RD
47 yr old operated for RD

The retina is the part of the eye that receives the light and converts it into chemical energy. The chemical energy activates nerves that conduct the messages out of the eye into the higher regions of the brain. The retina is a complex nervous structure.

Under our project complex retinal diabetic surgeries we have operated VITRECTOMY SURGERY on a 47 yr old gentleman.

He was seen at our hospital in the month of June 2020 by Dr.Krishna R Murthy. On examination he complained of diminution of vision in left eye since 8 months & gave of history of trauma to his right eye with stone 35 yrs back. Fundus examination in right eye showed total glaucomatous disc and in left eye posterior retinal detachment. (A retina detaches when the retina peels away from its underlying layer of support tissue at the back of the eye). He was advised to undergo LEFT EYE VITRECTOMY + ENDOLASER + FLUID GAS EXCHANGE + SILICONE OIL INJECTION UNDER LOCAL ANAESTHESIA.

Surgical Management:

After undergoing all preliminary investigations (physical fitness) he was posted for surgery on 20.10.2020 @ 02:15pm. The operating team consisted of Dr.Krishna R Murthy & Dr.Bhargavi Murali – Operating surgeons, Dr.Snehapriya – Assistant Doctor, Mr.Umesh - Surgery Assistant, Dr. Naveen – Anesthetist, and OT Assistants- Mr.Suresh & Mr.Muthuraj,

 

The surgery lasted for 2 hrs 30 min. He was discharged on 21.10.2020 with an advice to follow all medications and to maintain strict prone position for 13-14 hrs a day for 3 weeks and review after 1 week. As on 10.11.2020; he is doing well and retina is ON and was suggested to review after 3 weeks for glasses suggestion.

 

By profession he works in a hotel industry as a helper and supports his family. The above helping hand has imbibed confidence in him to get involved in some job to support his family.

Oct 15, 2020

Timely treatment

9 weeks old baby treated for rop
9 weeks old baby treated for rop

ROP occurs when abnormal blood vessels grow and spread throughout the retina, the tissue that lines the back of the eye. These abnormal blood vessels are fragile and can leak, scarring the retina and pulling it out of position. This causes a retinal detachment. Retinal detachment is the main cause of visual impairment and blindness in ROP.

 

 1.    A 9 weeks male baby born in 28 weeks of gestation weighing 1360 gms was reviewed on 19.09.2020 by Dr.Krishna R Murthy. Eye fundus photos of the baby showed presence of ROP in both eyes in stage 2 in zone 2 in both eyes with early plus disease. The baby was advised for laser treatment to both eyes. The baby underwent laser treatment on 27.09.2020. As on 10.10.2020; ROP has regressed and baby is advised to review after 2 weeks.         

2. A 4 weeks male baby born in 28 weeks of gestation weighing 1260 gms was seen on 30.09.2020 by Dr.Krishna R Murthy. Eye fundus photos of the baby showed presence of ROP in both eyes in stage 2 in zone 2 in both eyes with plus disease. The baby was advised for laser treatment to both eyes. The baby underwent laser treatment on 01.10.2020.

4 weeks baby treatment with rop
4 weeks baby treatment with rop
Oct 6, 2020

Vision - The sense of seeing

4 yr old child operated for chemical injury
4 yr old child operated for chemical injury

Healthy eyes and vision are a critical part of child's development. Several eye conditions can affect children. Most are detected by a vision screening using an acuity chart during the preschool years. The problem of poor vision is particularly important in young children, who without appropriate correction struggle to see the blackboard in the classroom. This means that they can have great difficulty in learning at school, which has an untold impact on their education, their social participation, their overall quality of life. Vision is more than just the ability to see clearly or having 20/20 eyesight. It is also the ability to understand and respond to what is seen. There are many basic visual skills beyond seeing clearly that are important to supporting academic success.

CHEMICAL INJURY

A 4 year old female child was seen at our hospital on 17.08.2020. On examination the child’s mother informed of chemical injury to child’s left eye on 16.07.2020. The child was on topical treatment for the injury. It was a grade 4 chemical injury with total corneal opacity with 360 deg limbal stem cell loss. (Chemical (alkali and acid) injury of the conjunctiva and cornea is a true ocular emergency and requires immediate intervention. Chemical injuries to the eye can produce extensive damage to the ocular surface and anterior segment leading to visual impairment and disfigurement. Early recognition and treatment ensures the best possible outcome for this potentially blinding condition). The child was suggested for surgical intervention to left eye under general anaesthesia. LEFT EYE – AMNIOTIC MEMBRANE GRAFT WITH SYMBLEPHARON RELEASE.

The child underwent the above suggested surgery on 20.08.2020. The surgery lasted for 3hrs 45 min and was uneventful.

INJURY WITH TOP

A 10 year old male child was seen at our hospital on 19.09.2020. The child’s mother gave a history of alleged trauma with top to his right eye while playing on 17.09.2020. His visual acuity in right eye was presence of perception of light and projection of rays. Anterior segment examination showed full thickness corneal tear with iris prolapse and vitreous in the wound + hyphema. The child was advised for emergency intervention of Corneal tear repair + Vitrectomy + intravitreal antibiotic and antifungal injection under general anaesthesia.

The child underwent the suggested surgery on 20.09.2020. The surgery lasted for 3 hrs & was uneventful.

NUCLEAR CATARACT

A 1yr old male baby was evaluated at our hospital on 15.09.2020. Parents informed of noticing white reflex in right eye since 1 month. The baby was diagnosed to have nuclear cataract. (A cataract is a clouding of the lens in the eye leading to a decrease in vision. It can affect one or both eyes). On examination the baby’s visual acuity in right eye was presence of perception of light and in left eye the baby was able to fix and follow light. The baby was suggested for RIGHT EYE CATARACT EXTRACTION WITH IOL IMPLANTATION UNDER GENERAL ANAESTHESIA.

The baby underwent the suggested surgery on 24.09.2020. The surgery lasted for 2 hrs and was uneventful.

10 yr old boy operated for top injury
10 yr old boy operated for top injury
1 yr old baby operated for nuclear cataract
1 yr old baby operated for nuclear cataract
1 yr old baby post surgery
1 yr old baby post surgery
 
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