No abstract

A 30-year-old woman presented to the OPD, and during the course of her retinal examination she was seen to have multiple drusen in both the eyes. Based on her age, drusen appearance, distribution, autofluorescence, star in the sky appearance on angiography, and sub-RPE location on SD-OCT, she was diagnosed as having Cuticular drusen also called Basal laminar drusen. The perifoveal drusen had clustering and confluence with intermediate-stage AMD features. Thus, we report a rarely seen phenomenon of macular degeneration in a young woman with Cuticular drusen phenotype, which has genetic and systemic implications.

AIM:To study the safety and efficacy of pharmacological vitreolysis by intravitreal injection by hyaluronidase. METHODS: a prospective comparative interventional case series of 20 eyes of 20 patients who underwent intravitreal injection of Hyaluronidase 100 IU in one eye in a tertiary eye care centre by a single surgeon between

INTRODUCTION:Pars plana vitrectomy (PPV) is a surgical procedure that involves removal of vitreous gel from the eye and the instruments are introduced into the eye through the pars plana. 20G Conventional Vitrectomy is a standard technique for Vitreo retinal surgery since its inception in 1970 and is accepted worldwide. 1 Conjunctiva is opened, three sclerotomy ports are made with MVR blade by a stab incision inferotemporally, superotemporally and superonasally. Infusion cannula is inserted and sutured to the inferotemporal sclerotomy port and remaining two sclerotomy ports are used for endoillumination and vitrectomy cutter. In 2002, Fujii et al introduced 25G vitrectomy with instruments of lumen diameter 0.5mm. Self-retained trocars are used for infusion cannula and other instruments. The trocars are inserted trans-conjunctivally and trans-sclerally and remained in place during the entire surgical procedure without the need for suturing them to sclera. 2 In 2004, 23G vitrectomy with instruments of lumen diameter 0.65mm were developed by Eckhardt et al. 3 The quest to find new ways to shorten surgical time and minimize trauma to the eye led to the development of 20G sutureless technique by Chen et al in 1996, 4 where a tunnel incision is used instead of a stab incision used in Conventional 20G vitrectomy and there by incision is made selfsealing and left without sutures.Yeshuran et al reported that 33 out of 35 eyes that underwent 20G sutureless vitrectomy had uneventful operations and only 2 eyes required suture placement at the end of the surgery. 5,6 Saad et al concluded from the 183 20G Sutureless sclerotomies performed, 10(6%) required suture placement. 7 Kim et al reported that in a series of 164 20G sutureless Vitrectomies, suture placement at the end of the procedure was required in 63 (38%) patients to close leaking sclerotomies. 8 In a comparative series of 21 consecutive eyes undergoing 20G sutureless Vitrectomies using self-sealing wedge shaped pars plana sclerotomies, Theelan et al reported no cases of hypotony. 9