By DR KRISHNA R MURTHY | PROJECT LEADER
Background:
A 53 year old gentleman was reviewed at our hospital on 17.01.2020 by Dr.Bhargavi Murali. He had undergone both eyes cataract surgery in 2015. On examination he complained of diminution of vision in right eye since 4 days. His visual acuity in right eye was counting fingers at 1 mtr distance and in left eye 6/6p. Fundus examination in right eye showed inferior retinal detachment with macula off (It is the status of the macula that defines the urgency with which surgical repair should be undertaken, Macular detachment is a detachment involving the fovea with any resulting loss of central Snellen visual acuity).
He was advised to undergo RIGHT EYE VITRECTOMY + ENDOLASER + FLUID GAS EXCHANGE + ENDOLASER UNDER + C3F8 GAS UNDER LOCAL ANAESTHESIA.
Surgical Management:
After undergoing all preliminary investigations (physical fitness) he was posted for surgery on 21.01.2020 @ 02:30pm. The operating team consisted of Dr.Krishna R Murthy – Operating surgeon, Dr.Snehapriya – Assistant Doctor, Mr.Anilkumar - Surgery Assistant, Dr. Naveen – Anesthetist, and OT Assistants- Mr.Suresh & Mr.Ravikumar,
The surgery lasted for 1 hr 45 min. He was discharged on 22.01.2020 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 21.02.2020; he is doing well and retina is ON and was suggested to review after 3 weeks.
By profession he works as a school van driver and supports his family. His profession requires him to have correct eyesight for safe driving. Post surgery his visual acuity in right eye is 6/12. Timely intervention has helped him to continue his profession and support his family
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