Kshitij Raizada, MS Ophthalmology » Miscellaneous

Aug 6 2020 by Kshitij Raizada, MS Ophthalmology

A HIV+ve patient presented to us with bilateral 360 degrees giant retinal tear. The retina in both the eyes lied crumpled on the posterior pole with bare choroid visible all around. 25G pars plana vitrectomy was done in the left eye. On injection of PFCL, the crumpled retina unfolded, just like a bud, blooming into a flower! 360 degrees endolaser was done and PFCL- oil exchange was done without constructing the 4th port.

Condition/keywords: giant retinal tear, HIV, perfluorocarbon fluid, video

Aug 25 2020 by Kshitij Raizada, MS Ophthalmology

A 36-year-old female presented to with complaints of diminution of vision in LE for 3 months. Her BCVA in the RE was 6/6 and CF@1m in the LE. She was a K/C/O polypoidal choroidal vasculopathy (PCV) in the RE and had a history of receiving 2 doses of intravitreal Aflibercept (Eylea) in the RE. On her visit, she had dense Vitreous hemorrhage in the LE. 25G pars plana vitrectomy + intravitreal Aflibercept was planned for her. On clearing the vitreous hemorrhage, the patient was found to have Peripheral Exudative Hemorrhagic Chorioretinopathy (PEHCR). An on-table diagnosis of "PCV causing PEHCR" was made. Endolaser was done to sites suspicious to have underlying polyps. The patient's vision improved to 6/18 in the LE after one week of surgery. One month post-surgery, her BCVA in the LE had improved to 6/9. ICG angiography was done which revealed non-leaking BVN(branching vascular network) and no polyps. The patient has been doing well and has been kept under observation.

Condition/keywords: indocyanine green (ICG) angiography, peripheral exudative hemorrhagic chorioretinopathy (PEHCR), polypoidal choroidal vasculopathy (PCV), video