By DR KRISHNA R MURTHY | PROJECT LEADER
Background:
A 62 yr old male was reviewed at our hospital on 29.01.2019 by retinal surgeon Dr.Krishna R Murthy. On examination his visual acuity in left eye was presence of perception of light and projection of rays. Fundus examination showed retinal detachment with breaks - The retina is a light-sensitive membrane located at the back of the eye. When light passes through your eye, the lens focuses an image on your retina. The retina converts the image to signals that it sends to your brain through the optic nerve. The retina works with the cornea, lens, and other parts of your eye and brain to produce normal vision. Retinal detachment occurs when the retina separates from the back of your eye. This causes loss of vision that can be partial or total, depending on how much of the retina is detached. When your retina becomes detached, its cells may be seriously deprived of oxygen. Retinal detachment is a medical emergency.
He was advised to undergo LEFT EYE REVITRECTOMY + MEMBRANE PEELING + FLUID GAS EXCHANGE + ENDOLASER + SILICONE OIL INJECTION UNDER LOCAL ANAESTHESIA.
Surgical Management:
After undergoing all preliminary investigations (physical fitness) he was posted for surgery on 29.01.2019. The operating team consisted of Dr. Krishna R Murthy – Operating surgeon, Dr. Rohini – Assistant Doctor, Mr.Ravikumar - Surgery Assistant, Dr. Naveen – Anaesthetist, OT Assistant-Mr.Anil.
The surgery lasted for 1 hr 15 min. He was discharged on 30.01.2019 with an advice to follow all medication and to maintain strict prone position for 13 to 14 hours a day for 3 weeks. As on 19.03.2019; he is doing well, Retina is attached and his vision in left eye is counting fingers at 3 mtr distance enabling him carry on his activities without dependency.
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