Dr. MEHUL SHAH

, Dr. SHREYA SHAH, Dr. DEEKSHA THORAT, DR. HEENA PATEL

Abstract

ABSTRACT: A 15 YEAR OLD PATIENT PRESENTED TO OUR OPD WITH H/O WOODEN STICK INJURY LEADING TO ZONE 1 FULL THICKNESS CORNEAL TEAR. IMMEDIATE PRIMARY WOUND REPAIR WAS PERFORMED AND PATIENT WAS LOST TO FOLLOWE BECAUSE OF LOCKDOWN.

ON SUBSEQUENT FOLLOW UP PATIENT CAME WITH VISION PL AND DEMONSTRATED DEVELOPMENT OF RETROCORNEAL MEMBRANE BEHIND THE WOUND IN THE ANTERIOR SEGMENT. B SCAN DEMONSTRATED PRESENCE OF ARETINAL DETACHMENT THE POSTERIOR SEGMENT ATTACHED AT THE OPTIC DISC EXTENDING TILL THE RETROCORNEAL MEMBRANE ANTERIORLY MASQUERADING RETINAL INCARCERATION IN THE WOUND. THE TRACTION BY THE MEMBRANE AT RETINA DEMONSTRATED PRESENCE OF FOLDS ON RETINA WITHOUT ANY BREAK.

CONCLUSION: THE PATEINT UNDERWENT VITRECTOMY FOLLOWED BY RELIEVE OF RETINAL TRACTION AND REMOVAL OF THE MEMBRANE FROM THE POSTERIOR SEGMENT LEADING TO GOOD VISUAL PROGNOSIS.