DR. SWETA PATRO

, Dr.Palmeera D`souza, DR. NARENDRAN V.

Abstract

Abstract:A 35 year old male presented to us with defective vision in his LE for 6 months.His Best Corrected Visual Acuity(BCVA) was 6/18. Anterior segment was WNL.Posterior segment revealed optic nerve head(ONH) pit with thickening in papillo-macular bundle and foveal area.OCT showed schitic edema with central macular thickness(CMT) of 585 micrometer.

Patient was scheduled for pars plana vitrectomy with autologous scleral graft.During surgery the graft was placed over the pit but was repeatedly getting displaced due to residual fluid in the posterior pole.Finally the graft could be properly plugged over the pit after careful fluid air exchange(FAE) and complete removal of residual fluid.2 months after surgery his BCVA improved to 6/9P with CMT of 210micrometer.

This technique is effective and safe but can be tricky sometimes.This video showcases the difficulties faced while plugging the scleral autograft over the ONH pit.

Conclusion:Thorough FAE is crucial for the success of surgery.