Shattered Vision: Myopia's Threat of Giant Retinal Tears - Case Study at TOSCON 2024
“SHATTERED VISION: MYOPIA’S SILENT THREAT OF GIANT
RETINAL TEARS”
DR.GORLA TEJASREE
“SHATTERED VISION: MYOPIA’S SILENT THREAT OF GIANT RETINAL TEARS
”
AUTHOR: DR.GORLA TEJASREE
JUNIOR RESIDENT
SDEH
HYDERABAD
COAUTHOR: DR.V.RAJALINGAM,SUPERINTENDENT
DR.G.UMA, ASSISTANT PROFESSOR,
DEPARTMENT OF RETINA
SDEH
HYDERABAD
“SHATTERED VISION: MYOPIA’S SILENT THREAT OF GIANT
RETINAL TEARS”
DR.GORLA TEJASREE
INTRODUCTION
•
GIANT RETINAL TEARS- a continuous ,circumferential peripheral retinal break of 3 or more clock
hours(≥ 90˚).
•
Risk factors include trauma, age, hereditary vitreoretinopathies, pseudophakia and
high myopia.
•
GRT need special mention due to special characteristics like:
Rapidly leading to retinal RD.
Increased risk of proliferative vitreoretinopathy.
Fellow eye involvement occurs frequently.
Requires meticulous surgery to prevent complications.
“SHATTERED VISION: MYOPIA’S SILENT THREAT OF GIANT
RETINAL TEARS”
DR.GORLA TEJASREE
MATERIALS AND METHODS
HISTORY:
•
31Y/M presented with sudden DOV in RE since 4 days with no associated symptoms.
•
Spectacle usage since 23 years.
•
No history of ocular trauma/surgery/systemic comorbidities.
EXAMINATION:
On initial presentation,
•
BCVA in RE: CF-CF and LE :CF ½mtr -20dsph 6/12 mtrs.
•
Anterior segment normal in both eyes with clear lens.
•
RE fundus: myopic fundus with Retinal detachment temporally and inferiorly involving 6 clock
hours.
•
LE fundus: myopic fundus.
“SHATTERED VISION: MYOPIA’S SILENT THREAT OF GIANT
RETINAL TEARS”
DR.GORLA TEJASREE
PRE OP
RE :GRT temporally
and inferiorly
LE :Myopic fundus
RE BSCAN: showing GRT
with RD
Patient diagnosed as RE GIANT
RETINAL TEAR with
RHEGMATOGENOUS RETINAL
DETACHMENT.
TREATMENT:
Patient managed surgically by RE
BELT BUCKLING + 287 BAND
+PARS PLANA
VITRECTOMY+MEMBRANE
PEELING+ FLUID AIR EXCHANGE+
SILICON OIL INTERVENTION+
CRYO THERAPY.
BE 360˚ BARRAGE LASER on POD 1
“SHATTERED VISION: MYOPIA’S SILENT THREAT OF GIANT
RETINAL TEARS”
DR.GORLA TEJASREE
Result :
POD 1 RE vision CF 1mtr, fundus- retina flat under silicon oil with good buckling effect
POD10 RE vision CF 1mtr
2months post op vision CF 2 mtrs
patient is under further follow-up.
DISCUSSION
•
GIANT RETINAL TEARS with RD with no macular detachment have shown good improvement
in vision following surgical intervention shows importance of early intervention in such cases.
•
High myopia –risk factor for fellow eye giant retinal tear requires meticulous follow-up and
prophylactic 360˚barrage laser can be done as a precautionary measure.
RE POD 1
“SHATTERED VISION: MYOPIA’S SILENT THREAT OF GIANT
RETINAL TEARS”
DR.GORLA TEJASREE
CONCLUSION
•
Timely diagnosis and early surgery – key to success.
•
Cases of GRT with high myopia should be kept on regular follow-up for the fellow eye even
after involved eye operated successfully.
•
This case is reported to highlight the need for timely intervention and proper management in
such cases.
THANKYOU
Giant retinal tears (GRT) pose a serious risk in high myopia cases, requiring prompt surgical intervention to prevent complications like retinal detachment. Dr. Gorla Tejasree presents a case study of a 31-year-old male with GRT and retinal detachment, successfully managed through surgical techniques at the 9th Annual State Ophthalmological Conference (TOSCON) in Hyderabad. The patient's post-operative vision showed improvement, emphasizing the importance of timely diagnosis and treatment for GRT associated with myopia.
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Presentation Transcript
SHATTERED VISION: MYOPIAS SILENT THREAT OF GIANT RETINAL TEARS DR.GORLA TEJASREE 9thAnnual State Ophthalmological Conference TOSCON 2024 12thto 14thJuly, 2024 at Katriya Hotel & Towers, Hyderabad SHATTERED VISION: MYOPIA S SILENT THREAT OF GIANT RETINAL TEARS AUTHOR: DR.GORLA TEJASREE JUNIOR RESIDENT SDEH HYDERABAD COAUTHOR: DR.V.RAJALINGAM,SUPERINTENDENT DR.G.UMA, ASSISTANT PROFESSOR, DEPARTMENT OF RETINA SDEH HYDERABAD
SHATTERED VISION: MYOPIAS SILENT THREAT OF GIANT RETINAL TEARS DR.GORLA TEJASREE 9th Annual State Ophthalmological Conference TOSCON 2024 12th to 14th July, 2024 at Katriya Hotel & Towers, Hyderabad INTRODUCTION GIANT RETINAL TEARS- a continuous ,circumferential peripheral retinal break of 3 or more clock hours( 90 ). Risk factors include trauma, age, hereditary vitreoretinopathies, pseudophakia and high myopia. GRT need special mention due to special characteristics like: Rapidly leading to retinal RD. Increased risk of proliferative vitreoretinopathy. Fellow eye involvement occurs frequently. Requires meticulous surgery to prevent complications.
SHATTERED VISION: MYOPIAS SILENT THREAT OF GIANT RETINAL TEARS DR.GORLA TEJASREE 9th Annual State Ophthalmological Conference TOSCON 2024 12th to 14th July, 2024 at Katriya Hotel & Towers, Hyderabad MATERIALS AND METHODS HISTORY: 31Y/M presented with sudden DOV in RE since 4 days with no associated symptoms. Spectacle usage since 23 years. No history of ocular trauma/surgery/systemic comorbidities. EXAMINATION: On initial presentation, BCVA in RE: CF-CF and LE :CF mtr -20dsph 6/12 mtrs. Anterior segment normal in both eyes with clear lens. RE fundus: myopic fundus with Retinal detachment temporally and inferiorly involving 6 clock hours. LE fundus: myopic fundus.
SHATTERED VISION: MYOPIAS SILENT THREAT OF GIANT RETINAL TEARS DR.GORLA TEJASREE 9th Annual State Ophthalmological Conference TOSCON 2024 12th to 14th July, 2024 at Katriya Hotel & Towers, Hyderabad PRE OP Patient diagnosed as RE GIANT RETINAL TEAR with RHEGMATOGENOUS RETINAL DETACHMENT. TREATMENT: Patient managed surgically by RE BELT BUCKLING + 287 BAND +PARS PLANA VITRECTOMY+MEMBRANE PEELING+ FLUID AIR EXCHANGE+ SILICON OIL INTERVENTION+ CRYO THERAPY. RE :GRT temporally and inferiorly LE :Myopic fundus BE 360 BARRAGE LASER on POD 1 RE BSCAN: showing GRT with RD
SHATTERED VISION: MYOPIAS SILENT THREAT OF GIANT RETINAL TEARS DR.GORLA TEJASREE 9th Annual State Ophthalmological Conference TOSCON 2024 12th to 14th July, 2024 at Katriya Hotel & Towers, Hyderabad Result :POD 1 RE vision CF 1mtr, fundus- retina flat under silicon oil with good buckling effect POD10 RE vision CF 1mtr 2months post op vision CF 2 mtrs patient is under further follow-up. DISCUSSION RE POD 1 GIANT RETINAL TEARS with RD with no macular detachment have shown good improvement in vision following surgical intervention shows importance of early intervention in such cases. High myopia risk factor for fellow eye giant retinal tear requires meticulous follow-up and prophylactic 360 barrage laser can be done as a precautionary measure.
SHATTERED VISION: MYOPIAS SILENT THREAT OF GIANT RETINAL TEARS DR.GORLA TEJASREE 9th Annual State Ophthalmological Conference TOSCON 2024 12th to 14th July, 2024 at Katriya Hotel & Towers, Hyderabad CONCLUSION Timely diagnosis and early surgery key to success. Cases of GRT with high myopia should be kept on regular follow-up for the fellow eye even after involved eye operated successfully. This case is reported to highlight the need for timely intervention and proper management in such cases. THANKYOU
