content top

The Tumour in Disguise Choroidal Melanoma Masquerading as Retinal Detachment

Retina Photo The Tumour in Disguise Choroidal Melanoma Masquerading as Retinal Detachment by Sangeet Mittal, India Sangeet Mittal, India A 72 years old man was diagnosed to have retinal detachment and referred for surgery. On fundus examination he was seen to have a solid RD with underlying choroidal melanoma and lipofuscin deposits. Contact Details: Sangeet Mittal Thind Eye Hospital Pvt. Ltd Jalandhar India Cell Phone : 9988998844 Work...

Read More

The Golden Eye Gold Foreign Body Embedded in the Retina

Retina Photo The Golden Eye Gold Foreign Body Embedded in the Retina by Sangeet Mittal, India Sangeet Mittal, India A foreign body made of 22 carat gold was seen in the eye of a jeweller embedded in the retina. The injury was about a year old. Being inert in nature, the foreign body has not caused any collateral damage. Contact Details: Sangeet Mittal Thind Eye Hospital Pvt. Ltd Jalandhar India Cell Phone : 9988998844 Work Phone :...

Read More

Serpent Love Racemose Hemangioma of the Retina

Retina Photo Serpent Love Racemose Hemangioma of the Retina by Sangeet Mittal, India Sangeet Mittal, India The retinal manifestations of Racemose haemangioma include one or more dilated, tortuous arteries that emerge from the optic disc and extend into the retina. The arteries typically form a distinct AV communication with a similarly dilated vein giving an appearance of snakes braided together in an embrace. Contact Details: Sangeet...

Read More

Escaping the Sweet Spider’s Web Life Story of an Eye with Severe PDR

Retina Photo Escaping the Sweet Spider’s Web Life Story of an Eye with Severe PDR by Sangeet Mittal, India Sangeet Mittal, India The presentation is a series of pre and post-operative retinal photographs of a patient with severe PDR. Diabetic Retinopathy had given rise to an intricate network of blood vessels resembling a spider’s web. The patient for some reason did not undergo treatment for 6 months and the vessels have fibrosed...

Read More

Optic Disc Coloboma & Retinal Detachment: The Big Stuff

Sangeet Mittal, India Introduction: Incomplete closure of embryonic fissure results in colobomas of the iris, choroid and optic disc. Colobomas of the optic nerve usually present as a defect in the inferior aspect of the optic nerve. These excavatory anomalies are rarely associated with macular or retinal detachment. Safety: ILM peeling with inverted flap technique had been used with success in the closure of large macular holes and optic...

Read More

Safety & Efficacy of Povidone Iodine Infusion During Vitrectomy for Endophthalmitis

Sangeet Mittal, India Treatment of endophthalmitis is difficult if caused by multi-drug resistant bacteria. Povidone Iodine exhibits diverse microbicidal actions against multi-drug resistant bacteria, candida, viruses, acanthamoeba and is also active against biofilms. Povidone Iodine has additional advantages of low cost, absence of drug resistance and rapid bactericidal effect. Use of 0.025% Povidone Iodine in irrigating solutions for...

Read More

Around-the-table Dissection with 27 Gauge Vitrectomy for Proliferative Diabetic Retinopathy & Table-top Retinal Detachment

Sangeet Mittal, Nishikant Borse, India Safety: Proliferation of new blood vessels as a result of progressive retinal ischaemia in diabetes leads to the development of Proliferative Diabetic Retinopathy (PDR). The new vessels growth occurs along the trampoline-like contour of the posterior hyaloid using it as a scaffold. These new vessels progress to form epiretinal membranes (ERM) which are fibrovascular and contractile. Combined with the...

Read More

Choroidal Blow-out During Silicon Oil Removal: A Unique Complication with Inadvertent Injection of Air in Supra-choroidal Space

Sangeet Mittal, India Purpose: To present an unusual complication of inadvertent injection of air in suprachoroidal space with subsequent rupture of choroid and retina during silicon oil removal. Case: A 56 years female had undergone vitrectomy with silicon oil injection for endophthalmitis associated with retinal detachment. 3 months later, she was arranged to have a second surgery for silicon oil removal. 25-gauge infusion cannula was...

Read More

The Morning Glory Blooms – Morning Glory Syndrome with Contractile Disc (A Rare Entity)

SCIENTIFIC POSTER The Morning Glory Blooms – Morning Glory Syndrome with Contractile Disc (A Rare Entity) by Sangeet Mittal, India ABSTRACT Morning Glory Syndrome is a well-established entity with early descriptions seen in 1900 AD. It results from an abnormal closure of embryonic ocular fissure allowing herniation of retinal and optic nerve head tissue leading to excavation of optic disc. It consists of funnel shaped excavated optic...

Read More

Plasma Homocysteine Levels in Patients of Central Serous Chorio Retinopathy

ABSTRACT Purpose: To evaluate the levels of Plasma homocysteine(Hcy) levels in patients of Central Serous Chorio-retinopathy (CSR) and determine its role in the treatment. Methods: Multicentric Prospective Blind Controlled Clinical Study of 60 subjects which were divided in 3 groups. Group A consisted of 30 patients of Central Serous Retinopathy. Group B consisted of 30 age and sex matched healthy controls. Group C consisted of 5 patients...

Read More

Bilateral Multifocal Idiopathic Retinal Pigment Epithelium Detachments in Otherwise Healthy Middle Aged Females: A Clinical Presentation

ABSTRACT Purpose: To present case studies of 2 patients with bilateral multifocal idiopathic retinal pigment epithelium detachments (RPED). Methods: Retrospective review of medical records of 2 middle aged female patients with innumerable (in hundreds) RPED. Results: The presence of RPED was verified using fundus fluorescien angiography and optical coherence tomography. The patients were found to be systemically normal by a physician after...

Read More

Around-the-table Dissection with 27 Gauge Vitrectomy for Proliferative Diabetic Retinopathy & Table-top Retinal Detachment

ABSTRACT Safety: Proliferation of new blood vessels as a result of progressive retinal ischaemia in diabetes leads to the development of Proliferative Diabetic Retinopathy (PDR). The new vessels growth occurs along the trampoline-like contour of the posterior hyaloid using it as a scaffold. These new vessels progress to form epiretinal membranes (ERM) which are fibrovascular and contractile. Combined with the antero-posterior traction of...

Read More

IOL Exchange Using Cross Knit Technique of Scleral fixated Secondary IOL

ABSTRACT Cross Knit Technique can be described as a combination of Yamane technique of Secondary IOL and Agarwal technique of Scleral fixation of IOL. The difference of cross knit technique with the other two techniques is that the haptics of IOL are introduced into the 26G needle ab-externo and a needle guide is used to place the haptics intra-sclerally into the pockets made at the edges of scleral flaps. This makes the surgery easier to...

Read More

Scleral Fixation of Dislocated AKREOS AO Plate Haptic Intraocular Lens

ABSTRACT To describe the technique of scleral fixation of Dislocated AKREOS AO plate haptic IOL: AKREOS is a plate haptic IOL with 4 haptics and a loop in each haptic. A 6-port pars plana vitrectomy was performed. 2 inferior ports at 5 & 7 o’clock were used for chandelier light and infusion cannula. 2 pairs of sclerotomies were made 180 degrees apart. The distance between sclerotomies in each pair was 5mm. Vitrectomy was done and...

Read More

Truth is Stranger Than Fiction: A Tale of Two Nails

ABSTRACT Purpose: To present 2 cases of successful removal of unusually large nails from the eye. Methods: Case 1. A 36-year old male presented with history of injury to left eye. On fundus examination a large IOFB (15 mm long nail) was seen in the vitreous cavity. He underwent Lensectomy, Vitrectomy, IOFB removal and Intra-ocular Lens implantation. Case 2. A 7-year old boy presented with complaints of injury to his left eye. He had a long...

Read More

Raising The Titanic – Rescue Missions for Dislocated IOLs

EDITED FILM ABSTRACT IOL (Intra Ocular Lens) dislocation can occur during the surgery or postoperatively. In Post operative period it can be due to trauma or spontaneously. The management of dislocated IOLs may vary depending upon the type of IOL, presence of capsular support and other variables. The video demonstrates management of dislocated IOL in different case scenarios. 1. Kelmans ACIOL hanging in vitreous cavity –...

Read More

Double Trouble – Two Macular Holes in One

RETINA PHOTO ABSTRACT A 56 year old male with history of blunt trauma presented with a large macular hole (almost 1 DD size). There was a small isthmus of retinal tissue dividing the hole giving it the appearance of a two holes. CONTACT DETAILS   Sangeet MITTAL Thind Eye Hospital Ltd Jalandhar, India Email: sangeetmittal@rediffmail.com Cell Phone: +919988998844 Work Phone:...

Read More

Sausage, Cheese & Ketchup Frosted Branch Angiitis Secondary to Leukemia

RETINA PHOTO Sausage, Cheese & Ketchup Frosted Branch Angiitis Secondary to Leukemia by Sangeet Mittal, India ABSTRACT Frosted Branch Angiitis can be idiopathic or is associated with ocular or systemic diseases such as Cytomegalovirus Retinitis, Toxoplasma, Behcets disease, SLE, Crohns disease, Lymphomas or Acute Lymphoblastic Leukaemia (ALL). The submitted photo is of 40 years male who was diagnosed to have ALL. He presented with...

Read More

The Curious Case of Countless PEDs Idiopathic Multiple Pigment Epithelial Detachment

RETINA PHOTO The Curious Case of Countless PEDs Idiopathic Multiple Pigment Epithelial Detachment by Sangeet Mittal, India ABSTRACT Retinal Pigment Epithelial Detachments (RPED) may be associated with various retinal diseases including Central Serous Chorio-Retinopathy, Age Related Macular Degeneration, Inflammatory diseases etc. They may be single or multiple. 40 years old female presented with a best correction visual acuity of 6/6 in...

Read More

Vitrectomy with Internal Limiting Membrane Peeling for Management of Diabetic Macular Edema with Plaque Like Sub-foveal Exudates

Vitrectomy with Internal Limiting Membrane Peeling for Management of Diabetic Macular Edema with Plaque Like Sub-foveal Exudates SCIENTIFIC POSTER Vitrectomy with Internal Limiting Membrane Peeling for Management of Diabetic Macular Edema with Plaque Like Sub-foveal Exudates by Sangeet Mittal, India ABSTRACT Purpose: Exudative diabetic maculopathy is a common cause of severe and irreversible visual loss in patients with diabetic...

Read More

Intravitreal Bevacizumab for Management of Purtschers Retinopathy

Intravitreal Bevacizumab for Management of Purtschers Retinopathy SCIENTIFIC POSTER Intra-Vitreal Bevacizumab for Management of Purtschers Retinopathy by Sangeet Mittal, India ABSTRACT Purpose: To present a case of Purtschers Retinopathy who was treated successfully with Intra-vitreal injections of Bevacizumab. Methods: A 35 years old male presented with sudden diminution of vision in both eyes following clavicular fractures in a...

Read More

27 Gauge Limited Vitrectomy with Gas Tamponade (Surgical Pneumoretinopexy) in the Management of Rhegmatogenous Retinal Detachment

27 Gauge Limited Vitrectomy with Gas Tamponade (Surgical Pneumoretinopexy) in the Management of Rhegmatogenous Retinal Detachment ABSTRACT Advantages: Pneumoretinopexy is a surgical procedure in which expansile gas is used to close retinal breaks in management of Retinal Detachment (RD) and has a single surgery success rate of only 75%. Pneumoretinopexy has limitations that it cannot be done if breaks are inferior, if multiple breaks are...

Read More

Sutureless Scleral Fixation of Dislocated Rayner Type C-flex Broad Haptic Intra-Ocular Lenses Using Fibrin Glue-Possibility & Limitations

Sutureless Scleral Fixation of Dislocated Rayner Type C-flex Broad Haptic Intra-Ocular Lenses Using Fibrin Glue-Possibility & Limitations ABSTRACT Advantages: Rayner type C-flex broad haptic Intra-Ocular Lens is a commonly used lens in cataract surgery. Posterior dislocation of this Intra Ocular lens is an uncommon but serious complication of cataract surgery. This may occur intra-operatively or postoperatively due to large posterior...

Read More

Modified Photodynamic Therapy for Management of Juxta-Papillary Capillary Hemangioma

Modified Photodynamic Therapy for Management of Juxta-Papillary Capillary Hemangioma ABSTRACT Juxta-Papillary Capillary Hemangiomas are angiomatous hamartoma occurring sporadically or in association with Von-Hippel Lindau Disease. Progressive visual loss is seen in 65% of eyes with Juxta-Papillary Capillary Hemangioma. Treatment is indicated when Juxta-Papillary Capillary Hemangioma is associated with macular edema, tractional retinal...

Read More

The Morning Glory Blooms – Morning Glory Syndrome with Contractile Optic Disc

The Morning Glory Blooms – Morning Glory Syndrome with Contractile Optic Disc RETINA PHOTO ABSTRACT Morning Glory Syndrome is a well-established entity with early descriptions seen in 1900 AD. It results from an abnormal closure of embryonic ocular fissure allowing herniation of retinal and optic nerve head tissue leading to excavation of optic disc. It consists of funnel shaped excavated optic nerve head with an annulus of...

Read More

The Lady with the Small Discs – Optic Nerve Hypoplasia

The Lady with the Small Discs – Optic Nerve Hypoplasia RETINA PHOTO  ABSTRACT The syndrome of Optic Nerve Hypoplasia, also known as septooptic dysplasia or DeMorsier syndrome, is a congenital disorder characterized by underdevelopment (hypoplasia) of the optic nerves. CONTACT DETAILS   Sangeet Mittal Jalandhar, India Email : sangeetmittal@rediffmail.com Cell Phone: +919988998844 Work Phone:...

Read More

Excision of Multiple Capillary Hemangiomas of Retina in a Patient with Rhegmatogenous Retinal Detachment and Proliferative Vitreoretinopathy

Introduction: Capillary hemangiomas of retina could be associated with rhegmatogenous retinal retachment (RRD) with proliferative vitreoretinopathy (PVR), situation that is difficult to manage. The surgical outcome is poor and recurrences are common. Vitrectomy along with excision and removal of capillary hemangiomas of the retina can be can be a viable treatment option for these cases. Methods: A 25-year-old male was diagnosed to have...

Read More

Management of Posterior Dislocated Intra Ocular Lenses by Sutureless Scleral Fixation Using Fibrin Glue

Advantages: Posterior dislocation of an intraocular lens is an uncommon but serious complication of cataract surgery. This may occur intra-operatively or postoperatively due to large posterior capsular defects, weak zonules or trauma. In case of inadequate capsular support these lenses are repositioned by suture fixation or are removed and replaced by an anterior chamber IOL. Suturing of a dislocated IOL to the sclera is technically...

Read More

Sutureless Anchoring of Silicone Implants in Scleral Buckling Procedure for Management of Rhegmatogenous Retinal Detachments

Advantages: Sutures are required to anchor scleral implants during scleral buckling procedure for management of retinal detachment. Suturing of buckle elements is associated with several complications including: 1) Needle Perforation (leading to intra-ocular bleed, retinal breaks, choroidal hemorrhage, softening of globe and change of surgical plan), 2) Premature loosening of suture (leading to anterior migration of buckle and failure of...

Read More
content top