DR. VEER SINGH

, Dr.ARJAN SINGH, Dr.Preetam Singh

Abstract

A 13-year-old boy with a 5 days history of stick trauma to Right Eye presented with Advanced Traumatic Endophthalmitis. Vision on presentations was PL+/PR accurate. Patient underwent surgery i.e. Corneal suturing + Lensectomy + Vitrectomy with careful Posterior hyaloid dissection without actually inducing PVD with Intravitreal Antibiotic-Steroid Injection. The Infection resolved rapidly, but despite careful vitrectomy & no break intra-op, patient developed a GRT RD 4 days later. Immediate & timely Re-Surgery with Silicone oil saved the eye & the child gained a Best-Corrected Vision of 6/36. What makes this case challenging is that even though infection resolved & timely surgery for GRT RD saved the child’s eye, surgical dilemma in such severe endophthalmitis cases regarding extent of vitrectomy, induction of PVD, use of Silicone Oil remains a topic of debate, since even after such careful vitrectomy without any breaks the boy still developed a GRT RD which affected the final vision.