Chief & Presenting Author: Dr.Krishna Teja Palla

Co Author(s): Dr.Ajay Sharma, Dr.Dr. Annaji Kota, Dr.Nasrin

Abstract

A 51 year old diabetic male was diagnosed with IMSC in both eyes, proliferative diabetic retinopathy in RE, Proliferative diabetic retinopathy with combined retinal detachment with macular hole in LE . He was posted for PPV+MEMBRANE SEGMENTATION&DELAMINATION+ILMP+FAE+EL+SOI under MAC under gvp. On POD-1, IOP was very high [50 mm hg] with shallow AC and fibrin membrane in anterior chamber. He was started on AGMs but IOP could not be reduced. On suspicion of over filling of silicone oil, he was posted for partial SOR on POD-3. Even on POD-4, his AC remained shallow, leading to suspicion of primary angle closure suspect [PACS]. On performing gonioscopy by glaucoma surgeon in right eye, PACS was confirmed in RE and i was expecting the same in LE. On POD-8, patient underwent Phacoemulsification+IOL uneventfully. on POD-9, his AC was well formed but ended up with complete optic disc atrophy. I want to emphasize the importance of proper pre-operative evaluation to prevent such night mares.