Last additions - Retinal Detachment - Macula Off - Large Tear - Pneumatic Retinopexy 68-year-old woman that I saw in the office on December 1, 2008. She has noticed floaters in her right eye for about ten days and over Thanksgiving. Then she noticed a veil over her vision just the last few days. She had cataract surgery a year ago.
VISUAL ACUITY: OD 20/200, OS 20/40. IOP: OD 16, OS 14.
SLIT EXAMINATION: Posterior chamber intraocular lens is in good position in both eyes.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.5. There is 2+ vitreous cells. There is a superior retinal detachment with a large retinal tear at 1 o’clock. The macula is detached or split by the detachment. The retinal detachment extends from 10 o’clock to 2 o’clock. There are no other tears or detachments. There is a 1+ inferior vitreous hemorrhage.
OS: Vertical C/D ratio is 0.5. There is posterior vitreous separation. With scleral depression, there are no tears.
IMPRESSION:
1. RETINAL DETACHMENT – RIGHT EYE
2. RETINAL TEAR – RIGHT EYE
3. VITREOUS HEMORRHAGE – RIGHT EYE
4. VITREOUS SEPARATION – RIGHT EYE
DISCUSSION: I explained to the patient that the right eye unfortunately does have a retinal detachment and a pneumatic retinopexy, there is an eighty to ninety percent chance of reattaching the retina. Her retinal break is large, I am a little concerned about the bubble going through the break. I numbed her eye with a heavy subconjunctival anesthetic and then I did cryotherapy around the retinal break. I injected her with a bubble and rolled her head around in such a way that the bubble would fall into the macula and then she maintained positioning in the office for a few minutes and I gently rolled her superiorly and I checked the break and the retina flattened out almost completely.
One year later vision 20/30!
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Pseudophakic Macula-Off Retinal Detachment with Larger Retinal Tear630 views68-year-old woman with veil over her vision just the last few days. She had cataract surgery a year ago. OD 20/200 -- One year later vision 20/30!Nov 23, 2010
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Pseudophakic Macula-Off Retinal Detachment with Larger Retinal Tear552 views68-year-old woman with veil over her vision just the last few days. She had cataract surgery a year ago. OD 20/200 -- One year later vision 20/30!Nov 23, 2010
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Pseudophakic Macula-Off Retinal Detachment with Larger Retinal Tear670 views68-year-old woman with veil over her vision just the last few days. She had cataract surgery a year ago. OD 20/200 -- One year later vision 20/30!Nov 23, 2010
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Pseudophakic Macula-Off Retinal Detachment with Larger Retinal Tear511 views68-year-old woman with veil over her vision just the last few days. She had cataract surgery a year ago. OD 20/200 -- One year later vision 20/30!Nov 23, 2010
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Pseudophakic Macula-Off Retinal Detachment with Larger Retinal Tear698 views68-year-old woman with veil over her vision just the last few days. She had cataract surgery a year ago. OD 20/200 -- One year later vision 20/30!Nov 23, 2010
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Pseudophakic Macula-Off Retinal Detachment with Larger Retinal Tear526 views68-year-old woman with veil over her vision just the last few days. She had cataract surgery a year ago. OD 20/200 -- One year later vision 20/30!Nov 23, 2010
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Pseudophakic Macula-Off Retinal Detachment with Larger Retinal Tear947 views68-year-old woman with veil over her vision just the last few days. She had cataract surgery a year ago. OD 20/200 -- One year later vision 20/30!Nov 23, 2010
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68-year-old woman that I saw in the office on December 1, 2008. She has noticed floaters in her right eye for about ten days and over Thanksgiving. Then she noticed a veil over her vision just the last few days. She had cataract surgery a year ago.
VISUAL ACUITY: OD 20/200, OS 20/40. IOP: OD 16, OS 14.
SLIT EXAMINATION: Posterior chamber intraocular lens is in good position in both eyes.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.5. There is 2+ vitreous cells. There is a superior retinal detachment with a large retinal tear at 1 o’clock. The macula is detached or split by the detachment. The retinal detachment extends from 10 o’clock to 2 o’clock. There are no other tears or detachments. There is a 1+ inferior vitreous hemorrhage.
OS: Vertical C/D ratio is 0.5. There is posterior vitreous separation. With scleral depression, there are no tears.
IMPRESSION:
1. RETINAL DETACHMENT – RIGHT EYE
2. RETINAL TEAR – RIGHT EYE
3. VITREOUS HEMORRHAGE – RIGHT EYE
4. VITREOUS SEPARATION – RIGHT EYE
DISCUSSION: I explained to the patient that the right eye unfortunately does have a retinal detachment and a pneumatic retinopexy, there is an eighty to ninety percent chance of reattaching the retina. Her retinal break is large, I am a little concerned about the bubble going through the break. I numbed her eye with a heavy subconjunctival anesthetic and then I did cryotherapy around the retinal break. I injected her with a bubble and rolled her head around in such a way that the bubble would fall into the macula and then she maintained positioning in the office for a few minutes and I gently rolled her superiorly and I checked the break and the retina flattened out almost completely.
One year later vision 20/30!