DR. YUSRA ASAD

, Dr. LALIT VERMA, DR. RITESH NARULA, Dr. AVNINDRA GUPTA

Abstract

Aims to elucidate the management of multiple small subretinal nuclear fragments without the creation of retinotomies in a case of giant retinal tear. A middle aged male presented to the vitreoretina outpatient department after having undergone an eventful cataract surgery elsewhere with a dropped nucleus and subsequent dimunition of vision. He was examined to have a giant retinal tear involving inferior 180 degrees of retina with an entire nucleus visualised inferiorly and was taken up for vitreoretinal surgery. Upon performing vitrectomy, the nucleus was initially not visible but thereafter seen lurking under the retina on injecting PFCL. Nucleus was then removed using a fragmatome but multiple small fragments still remained under the settled retina. These were then manoeuvered from under the settled retina and removed with the help of a diamond duster. Retina was further ironed out followed by laser photocoagulation and direct PFCL- oil exchange with a resultant well settled retina.