Complex Retinal Surgeries in Diabetic Retinopathy

A 55 yr old gentleman vide MRD # 119612 was seen at our hospital in the month of February 2021. On examination he complained of diminution of vision in both eyes since many years. He is a known hypertensive since 20 yrs on treatment. He had taken retinal laser treatment elsewhere and lost follow-up due to covid 19. His visual acuity in both eyes was presence of perception of light in both eyes. Anterior segment examination showed presence of cataract in both eyes. Fundus examination showed vitreous haemorrhage with retinal detachment in both eyes. He was advised to undergo cataract surgery in left eye followed by surgical intervention for retinal detachment.

He underwent left eye cataract surgery on 09.02.2021. when he was reviewed on 26.02.2021; eye was quiet and cornea was clear and IOL was in place. He was advised to undergo LEFT EYE VITRECTOMY + ENDOLASER + FLUID GAS EXCHANGE + MEMBRANE PEELING + SILICONE OIL INJECTION UNDER LOCAL ANAESTHESIA.

Surgical Management:

After undergoing all preliminary investigations (physical fitness) he was posted for surgery on 02.03.2021 @ 02:00 pm. The operating team consisted of Dr.Vinaya Kumar K – Operating surgeon, Dr.Manasi – Assistant Doctor, Mr.Umesh - Surgery Assistant, Dr. Naveen – Anesthetist, and OT Assistants- Mr.Mahadevaswamy & Mr.Samuel Dennis.

The surgery lasted for 2 hrs. He was discharged on 03.03.2021 with an advice to maintain strict prone position for 13-14 hrs a day for 3 weeks and review after 1 week. As on 30.03.2021; he is doing well and retina is ON and has been advised to review after 2 weeks. His visual acuity in left is counting fingers at 2 mtr distance.

He is basically a flower vendor. He supports his sister in this work. He is satisfied with the surgery outcome and is happy that he is able to extend his helping hands to his sister who is a caretaker.