Management of Rhegmatogenous Retinal detachments- Evidence based Review
Introduction Rhegmatogenous retinal detachment (RRD) although rare, it is a serious ophthalmic condition that can lead to significant loss of vision or blindness without timely and appropriate management. It has been nearly a century (1918) since Jules Gonin demonstrated the importance of localizing and sealing retinal breaks, a procedure termed ignipuncture.1 Scleral buckling techniques, introduc...Read More
OCT in Age Related Macular Degeneration (ARMD) and Polypoidal Choroidal Vasculopathy (PCV)
Optical Coherence tomography (OCT) has revolutionized the way we look at retinal disorders. The earliest version of OCT was the time domain OCT following which spectral domain OCT arrived. Advances such as enhanced depth imaging and swept source OCT have furthered our understanding of retinal disorders. Beginning from the early 90s , OCT has vastly improved the way we diagnose, prognosticate , tre...Read More
Diabetic maculopathy is the most common cause of visual impairment in patients with diabetes mellitus. Classification Diabetic maculopathy is classified as – Exudative Maculopathy Ischemic Maculopathy Mixed Maculopathy 1. Exudative Maculopathy (Diabetic Macular Edema) It is diagnosed stereoscopically as retinal thickening within 1 disc diameter of the center of the macula using fundus biomicroscop...Read More
Endophthalmitis Management in India: a decade and half after the Endophthalmitis Vitrectomy Study
The current management of post-cataract surgery acute endophthalmitis is greatly influenced by the Endophthalmitis Vitrectomy Study (EVS). The EVS was a multicentric randomized clinical trial that had asked two important questions: (1) Is vitrectomy necessary in all cases of post intraocular lens (IOL) acute bacterial endophthalmitis? and (2) Does systemic antibiotics help in these cases? The EVS ...Read More