By Dr Krishna R Murthy | Project Leader
A 58 year old female was referred to us from one of our eye screening activity done at vision centre. She was was seen at our hospital on 08.09.2021 by Dr.Bhargavi Murali, Surgeon and consultant – Vitreo-Retinal Services. On examination she complained of diminution of vision in right eye since many days. She is a known diabetic and hypertensive on treatment for the same. She also has facial nerve palsy and malignant Otitis externa. She was admitted for the management of the same
(Otitis externa is a common ear infection also known as swimmer’s ear. It develops in the ear canal leading to the eardrum. In some cases, otitis externa can spread to surrounding tissue, including the bones of the jaw and face. This infection is known as malignant otitis externa. Malignant otitis externa is an aggressive infection rather than a malignancy, or cancer. An alternative name for malignant otitis externa is necrotizing external otitis. If it’s not treated malignant otitis externa can be life-threatening).
Her visual acuity in right eye was counting fingers at ½ mtr distance. Fundus examination showed advanced with tractional retinal detachment + vitreous haemorrhage. She was advised to undergo RIGHT EYE INTRAVITREAL RAZUMAB INJECTION FOLLOWED BY PARSPLANA VITRECTOMY + MEMBRANE PEELING + ENDOLASER + FLUID GAS EXCHANGE + SILICONE OIL INJECTION UNDER LOCAL ANAESTHESIA.
Surgical Management:
After undergoing all preliminary investigations (physician fitness) She was posted for surgery on 17.09.2021 @ 03:30 pm. The operating team consisted of Dr.Krishna R Murthy & Dr.Bhargavi Murali – Operating surgeons, Dr.Manasi Mehrotra – Assistant Doctor, Mr.Muthuraju - Surgery Assistant, Dr. Raghavendra – Anesthetist, and OT Assistants- Mr.Ravikumar & Mr.Suresh.
The surgery lasted for 2 hrs 30 min. She was discharged on 18.09.2021 with an advice to follow all medication and to maintain strict prone position for 13-14 hrs a day for 3 weeks and to review after 1 week. As on 08.10.2021, she is doing well; retina is ON.
She is vey happy by her vision status as she is able to do her daily activities on her own, which has helped her gain more confidence for herself.
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