RETINA PHOTO





ABSTRACT

This photo shows bilateral fundus images at postoperative month 18 following pars plana vitrectomy (PPV) for the management of bilateral perforating ocular injury caused by a shot with a bullet during bird hunting.
At his referral one week following primary suturation at both eyes, his vision was light perception in both eyes with hemorrhagic retinal detachment.
Bilateral PPV, extraction of ruptured lens materials, removal of subretinal hemorrhage, silicone oil endotamponade combined with scleral buckling and antiVEGF injection was performed on seperate days. Iris was sutured in the RE. The retina remained attached with single PPV with no proliferation.
Silicone oil was removed in both eyes on seperate days after one year of vitrectomy.
This photo shows at 6 months following silicone oil removal. Bilateral severe and diffuse atrophic areas are seen centrally and inferiorly with sparing of the fovea in the RE.
Visual acuity is 0.2 in the RE, and 0.1 in the LE with aphakic correction. With low vision aid lenses his VA increases to 0.9 in the RE, and 0.2 in the LE. He can walk and orient himself with no problem as he has normal visual field inferiorly due to intact superior retina. He still works actively as an engineer.

This dramatic picture in both eyes, with the presence of many bullets intracranially in this young man is shared to emphasize the importance of applying protective rules during hunting.
On the other side we can still have useful vision with the help of modern VR surgical techniques and timely management in selected eyes.


CONTACT DETAILS

 

Nur ACAR
ACIBADEM UNIVERSITY, SCHOOL OF MEDICINE, MASLAK HOSPITAL
Istanbul
Turkey
Email: nuracarr@gmail.com
Work Phone: +905353949539