Although primary vitrectomy can achieve anatomical and functional success rates comparable with those achieved by scleral buckling in uncomplicated forms of phakic RRD, the major drawback of the procedure is the high incidence of postoperative cataract formation. Moreover, visual rehabilitation takes place earlier with scleral buckling than with vitrectomy. Scleral buckling should thus be used as the primary surgical modality in the treatment of uncomplicated RRD where the media are sufficiently clear.

A toxic effect of Baerveldt GDI, which could lead to the alteration in pigmentation, has not been considered because the patient received a bilateral GDI placement. The presence of a serous-haemorrhagic choroidal detachment should be considered after unexplainable iris colour change and looked for with an echographic evaluation especially to detect the peripheral and flat forms.

Although primary vitrectomy can achieve anatomical and functional success rates comparable with those achieved by scleral buckling in uncomplicated forms of phakic RRD, the major drawback of the procedure is the high incidence of postoperative cataract formation. Moreover, visual rehabilitation takes place earlier with scleral buckling than with vitrectomy. Scleral buckling should thus be used as the primary surgical modality in the treatment of uncomplicated RRD where the media are sufficiently clear.

No abstract

Sir, Intravitreal bevacizumab for macular edema secondary to retinal macroaneurysm Bevacizumab, a humanised monoclonal antibody to vascular endothelial growth factor, has been given as an intravitreal injection for age-related macular degeneration, 1 macular oedema due to retinal vein occlusion, 2,3 and diabetic macular oedema. 4 Here, we present a case of macular oedema secondary to retinal macroaneurysm, which resolved with intravitreal Bevacizumab. Case reportA 42-year-old female presented with diminution of vision in her right eye for 1-month duration. The patient was a known hypertensive and diabetic.