DR. DEEPAK AGARWAL

DR. BORAL SUBHENDU KUMAR

Abstract

Introduction: Massive subfoveal hard exudates in diabetic retinopathy causes profound vision loss. These cases are difficult to treat medically. Successful removal of these exudates has been reported. Case-62yr old diabetic female presented with DOV in both eyes. BCVA was Finger Counting Close To Face (RE) and 6/60(LE). RE showed PDR with massive subretinal hard exudate. LE also had PDR. Surgical technique: Pars Plana Vitrectomy performed. Small retinotomy made at superotemporal part of macula. Localised Retinal Detachment was induced by infusing BSS by silicone tipped needle mounted on a 5cc syringe. Max grip forcep was manevoured through retinotomy, plaque was grasped and removed. Endolaser applied at retinotomy site. Silicone oil tamponade given. On first follow up, BCVA increased to 3/60. Discussion: Previous authors have reported improved vision after removal of subretinal hard exudates. Multicentric studies involving large number of cases may help reach a consensus.