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This case study details a 62-year-old pseudophakic male patient with sudden onset of decreased vision due to high bullous serous retinal detachment (SRD) skirting the fovea, presenting with a visual acuity of 6/24. A 5 mm split silicone sponge encirclage was performed, followed by serial optical coherence tomography (OCT) scans post-operatively. At one week, a significant reduction in subretinal fluid (SRF) was noted, and by the five-month follow-up, minimal SRF persisted with improved visual acuity of 6/6p. The findings emphasize the importance of careful monitoring and management post-surgery.
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Delayed absorption of SRF post buckling Dr Vikram mehta Mumbai
One eyed 62/M,pseudophakic, complains of decreased vision of sudden onset. High bullous ST RD skirting fovea (6/24 VA) with single horse shoe tear 5 mm split silicone sponge encirclage was done with SRFD. Have a look at the serial post op OCTs
One week post op. SRF at macula. No peripheral open break. HST well cryoed and opposed on buckle.
Six weeks post op. SRF at macula less than before. No peripheral open break. HST well cryoed and opposed on buckle.
5 monhs post op.minimal SRF at macula.VA 6/6p. One week and 5months OCT comparison
5 monhs post op.minimal SRF at macula.VA 6/6p. No peripheral open break. HST well cryoed and opposed on buckle.
