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Role of Subretinal R-TPA in Management of Subretinal Haemorrhage due to Age Related Macular Degeneration

S. Natarajan, Santosh Mahapatra, Hitendra B. Mehta , Hemant Todkar Purpose: To establish the role of R-TPA in management of massive subretinal haemorrhage due to ARMD. Methods: Retrospective case control study. Results: Clearance of subretinal / sub RPE haemorrhage in two of our cases following vitrectomy and subretinal R-TPA injection. Conclusion: Subretinal / Sub Retinal Pigment Epithelium (RPE) R-TPA, is a good therapeutic option in...

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Unicentric, Randomized, Open, Parallel Study of Comparison of Photodynamic Therapy (Visudyne) V/s Intravitreal Triamcinolone (4mg) in Combination with Photodynamic Therapy for Subretinal Neovascular Membrane in ARMD

S. Natarajan, Hemant Todkar, Hitendra B. Mehta,  Santosh Mahapatra Purpose: To study the role of intravitreal steroid with Photodynamic Therapy (PDT) for subretinal neaovascular membrane. Methods: Group A (23 eyes) underwent PDT and intravitreal triamcinolone 4 mg given intravitreally 1 week after PDT done for SRNVM. All patients underwent thorough eye examination. Fundus Fluorescein angiography (FFA), Indocyanine Green Angiography (ICGA)...

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Optical Coherence Tomography (OCT) Evaluation of Foveal Pseudocyst in the Formation of Macular Hole

S. Natarajan, Dharmesh Kar, Hemant Todkar, Hitendra B. Mehta Purpose: Optical Coherence Tomography (OCT) evaluation of foveal pseudocyst in the formation of macular hole. Methods: 42 yrs. old male with complaint of sudden diminution of vision since 1 week. On examination BCVA was 6/36, N18 and fundus examination showed superior rhegmatogenous retinal detachment with large posterior break. He underwent scleral buckling + vitrectomy + PFCL...

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Transceleral Diopexy for Peripheral Retinal Ablation

S. Natarajan, MD, Hitendra Mehta, MD, Nishant Patel, MD, Suhas Dongargaonkar, MD Purpose: Study efficacy of Transceleral laser photocoagulation using diopexy probe in peripheral retinal ablation. Matrerial and methods: Non randomized study of 35 consecutive eyes who underwent Diopexy between April, 01 – March,02. Results: 3 main criteria to study efficacy – Regression of PDR, Resolution of Vitreous Haemorrhage & Decrease in...

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25 Gauge Vitrectomy – Our Initial Experience

S. Natarajan, MD, Hitendra Mehta, MD, Nishant Patel MD, Suhas Dongargaonkar, MD Purpose: To describe our initial experience and to evaluate the safety and feasibility of using 25 Gauge transconjunctival sutureless vitrectomy system for a variety of vitreoretinal procedures. Methods: Retrospective review of a consecutive interventional case series. 21 patients, including diabetic vitreous haemorrhage (10); CNV with break through vitreous...

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Vitrectomy with Intravitreal Steroid

S. Natarajan, MD, Hitendra Mehta, MD, Nishant Patel, MD, Suhas Dongargaonkar, MD Purpose: To evaluate the efficacy, safety and effectivity of vitrectomy with ILM peeling combined with intravitreal triamcinolone injection for diffuse diabetic macular edema. Methods: Retrospective analysis of 5 patients which underwent vitrectomy with ILM peeling along with intravitreal triamcinolone injection was performed. All patients underwent thorough...

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