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POSTOPERATIVE WEEKS 1 & 3
- The patient retained vision between hand motions at 1 foot
and light perception OD.
- In the course of follow-up, early signs of proliferative vitreoretinopathy
with epiretinal membrane
formation and mild retinal traction developed.
POSTOPERATIVE WEEK 5
| On July 27, 2001, approximately 5 weeks after
surgery and 8 weeks after the initial injury, the patient
reported decreased vision in her left eye of approximately
1-week duration. She did not have photopsia. At that time
her history was significant for a second motor vehicle accident
on July 25, 2001 without ocular injury. There was no history
of previous upper respiratory infection or arthralgia. The
visual acuity was light perception OD and 20/25 OS with no
improvement using a pinhole. |
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SLIT
LAMP EXAMINATION OD
•
Mildly injected conjunctiva intact over the scleral buckle
•
Clear cornea without keratic precipitates
•
Well-healing corneal laceration
•
Aphakic depth anterior chamber with trace cell and flare
•
Aphakic pupillary space
•
Full silicone fill of the vitreous cavity |
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FUNDUS
EXAMINATION OD
•
Clear media and a macula-off traction retinal detachment posterior
to the scleral buckle arising from proliferative vitreoretinopathy
|
SLIT
LAMP EXAMINATION OS
•
White and quiet conjunctiva
•
Clear cornea without keratic precipitates
•
Deep and quiet anterior chamber
•
Pharmacologically dilated pupil
•
Clear lens
•
Syneretic vitreous without cell or definite posterior vitreous
detachment.
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FUNDUS
EXAMINATION OS
•
Clear media and flat retina.
•
Well-circumscribed, circular, areas of gray-white discoloration
100 to 500 µm in diameter, apparently at the level of the
RPE and confined mostly posterior to the equator.
•
The lesions spared the fovea, and there were no abnormalities
anterior to the equator with scleral depression for 360 degrees.
•
The lesions did not appear to be elevated.
•
No areas of retinitis or perivasculitis were noted, nor was
the granular appearance of subfoveal RPE that one sees in
MEWDS present.
•
The optic nerve head margins were
slightly blurred. |
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