Retinal Detachment Under Silicone Oil
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79-year-old woman has a recurrent retinal detachment in the left eye.
VISUAL ACUITY: OS 1/200. IOP: 7. The posterior chamber intraocular lens is in good position.
EXTENDED OPHTHALMOSCOPY:
OS: Vertical C/D ratio is 0.1. The retina is attached. I can see today an organized macular pucker.
IMPRESSION:
1. RECURRENT RETINAL DETACHMENT – LEFT EYE
DISCUSSION: I explained to the patient today as opposed to last visit, I can see organized scar tissue on the surface of the retina, which is good in a way because it means that there will be something to remove, which will help reattach the retina.
1 year post - op:
79-year-old woman had a complex retinal detachment repair in the left eye with silicone oil on August 19th of 2009. Her retina has been attached,
but unfortunately the eye is hypotonus and she does have oil filling the anterior chamber and because of that she
has band keratopathy. The eye is comfortable.
VISUAL ACUITY: OS 2/200. IOP: 9. There is band keratopathy. There is oil filling the anterior chamber.
The posterior chamber intraocular lens is in good position. There is oil filling the posterior chamber. The retina
is attached, but there are significant macular irregularities.
IMPRESSION:
1. STATUS POST COMPLEX RETINAL DETACHMENT REPAIR – LEFT EYE
2. BAND KERATOPATHY – LEFT EYE
3. HYPOTONY – LEFT EYE
DISCUSSION: I explained to the patient the retina in the left eye is attached and at this point I don’t think anything can or should be done to the eye. I asked her to see you back regularly. The band keratopathy at some point, if it becomes uncomfortable, may need to be addressed.
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79-year-old woman has a recurrent retinal detachment in the left eye.
VISUAL ACUITY: OS 1/200. IOP: 7. The posterior chamber intraocular lens is in good position.
EXTENDED OPHTHALMOSCOPY:
OS: Vertical C/D ratio is 0.1. The retina is attached. I can see today an organized macular pucker.
IMPRESSION:
1. RECURRENT RETINAL DETACHMENT – LEFT EYE
DISCUSSION: I explained to the patient today as opposed to last visit, I can see organized scar tissue on the surface of the retina, which is good in a way because it means that there will be something to remove, which will help reattach the retina.
1 year post - op:
79-year-old woman had a complex retinal detachment repair in the left eye with silicone oil on August 19th of 2009. Her retina has been attached,
but unfortunately the eye is hypotonus and she does have oil filling the anterior chamber and because of that she
has band keratopathy. The eye is comfortable.
VISUAL ACUITY: OS 2/200. IOP: 9. There is band keratopathy. There is oil filling the anterior chamber.
The posterior chamber intraocular lens is in good position. There is oil filling the posterior chamber. The retina
is attached, but there are significant macular irregularities.
IMPRESSION:
1. STATUS POST COMPLEX RETINAL DETACHMENT REPAIR – LEFT EYE
2. BAND KERATOPATHY – LEFT EYE
3. HYPOTONY – LEFT EYE
DISCUSSION: I explained to the patient the retina in the left eye is attached and at this point I don’t think anything can or should be done to the eye. I asked her to see you back regularly. The band keratopathy at some point, if it becomes uncomfortable, may need to be addressed.
