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OPHTHALMIC IMAGE
Year : 2022  |  Volume : 2  |  Issue : 1  |  Page : 324

Witnessing the spectacle/eye goggles in the eye: An investigative optical coherence tomography analysis of macula in advanced diabetic eye disease


1 Medical Officer, Department of Glaucoma and Research, Mahathma Eye Hospital Private Limited, Trichy, Tamil Nadu, India
2 Medical Officer, Department of Cataract and Refractive Surgery, Mahathma Eye Hospital Private Limited, Trichy, Tamil Nadu, India
3 Optometrist, Department of Optometry and Visual, Mahathma Eye Hospital Private Limited, Trichy, Tamil Nadu, India
4 Medical Officer, Department of Vitreo-Retinal Surgery, Mahathma Eye Hospital Private Limited, Trichy, Tamil Nadu, India
5 Head of the Department of Cataract and Refractive Surgery, Mahathma Eye Hospital Private Limited, Trichy, Tamil Nadu, India
6 Chief Medical Officer, Mahathma Eye Hospital Private Limited, Trichy, Tamil Nadu, India

Date of Web Publication07-Jan-2022

Correspondence Address:
Dr. Prasanna Venkatesh Ramesh
Medical Officer, Department of Glaucoma and Research, Mahathma Eye Hospital Private Limited, No 6, Tennur, Seshapuram, Trichy - 620 017, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_889_21

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How to cite this article:
Ramesh PV, Ramesh SV, Ray P, Aji K, Balamurugan A, Ramesh MK, Rajasekaran R. Witnessing the spectacle/eye goggles in the eye: An investigative optical coherence tomography analysis of macula in advanced diabetic eye disease. Indian J Ophthalmol Case Rep 2022;2:324

How to cite this URL:
Ramesh PV, Ramesh SV, Ray P, Aji K, Balamurugan A, Ramesh MK, Rajasekaran R. Witnessing the spectacle/eye goggles in the eye: An investigative optical coherence tomography analysis of macula in advanced diabetic eye disease. Indian J Ophthalmol Case Rep [serial online] 2022 [cited 2022 Jan 16];2:324. Available from: https://www.ijoreports.in/text.asp?2022/2/1/324/334989



Case 1

A 79-year-old male presented with defective vision in both eyes (OU) for the past 6 months. On examination, the best-corrected visual acuity (BCVA) was perception of light in right eye (OD) and 20/200 in left eye (OS). History taking revealed uncontrolled diabetic status for the past 10 years. The anterior segment OU was normal. The fundus examination revealed advanced diabetic eye disease OU with vitreous hemorrhage, subhyaloid hemorrhage, vitreomacular traction (VMT), and tractional retinal detachment (TRD); in the structural form of spectacle in optical coherence tomography (OCT) of OS macula [Figure 1]. Trans pars plana vitrectomy (PPV), VMT release, membrane peeling, fluid air exchange, and silicone oil tamponade were planned for OU.[1],[2]
Figure 1: Case 1. Optical coherence tomography (OCT) macula OS showing vitreomacular traction (VMT) causing tractional retinal detachment (TRD) in the macula with subretinal fluid collection in the shape of a spectacle

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Case 2

A 73-year-old female presented with defective vision OD for the past 9 months. On examination, BCVA was hand movements positive (HM+) in OD and 20/200 in OS. There was a history of uncontrolled diabetes mellitus for the past 8 years. The anterior segment OU was normal. The fundus examination revealed advanced diabetic eye disease OU with epiretinal membrane, panretinal photocoagulation (PRP) laser marks, extensive fibrovascular proliferation, VMT, and TRD; in the structural form of eye goggles in OCT of OD macula [Figure 2]. Trans PPV, VMT release, membrane peeling, fluid air exchange, and silicone oil tamponade were planned for OU.[1],[2]
Figure 2: Case 2. (a) Fundus examination revealing advanced diabetic eye disease OD with epiretinal membrane, panretinal photocoagulation (PRP) laser marks, extensive fibrovascular proliferation, VMT, and TRD. (b) OCT macula OD showing VMT causing TRD in the macula with subretinal fluid collection in the shape of eye goggles

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Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patient(s) understand that his/her/their names and initials will not be published and due efforts will be made to conceal his/her/their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Stewart MW, Browning DJ, Landers MB. Current management of diabetic tractional retinal detachments. Indian J Ophthalmol 2018;66:1751-62.  Back to cited text no. 1
[PUBMED]  [Full text]  
2.
Tractional Retinal Detachment Clinical Presentation: History, Physical, Causes. [Last accessed on 2021 Mar 15]. Available from: https://emedicine.medscape.com/article/1224891-clinical.  Back to cited text no. 2
    


    Figures

  [Figure 1], [Figure 2]



 

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