Topic outline

  • Grand Rounds

    A middle-aged patient presented with decreased vision in her right eye. She had a history of proliferative sickle cell retinopathy. She is blind in the left eye from a prior failed retinal detachment repair. Her vision in the right eye was counting fingers and intraocular pressure was normal. In the right eye, anterior segment examination was normal and posterior segment examination revealed dense vitreous hemorrhage. A B-scan ultrasound revealed no retinal tears or detachments. She was given an intravitreal injection of bevacizumab. At follow up, the hemorrhage was clearing but she had a new retinal detachment nasally. She was taken to the operating room for scleral buckle and pars plana vitrectomy with silicone oil tamponade. Her retina remained attached post-operatively. She underwent cataract surgery and silicone oil removal at post operative month 3. At the most recent follow up, she is stable with attached retina and without recurrent vitreous hemorrhage, with a best corrected visual acuity of 20/25.

    Presentation Date: 04/20/2023
    Issue Date: 04/28/2023