Retinal Dialysis After Blunt Ocular Trauma

Retinal dialysis is a circumferential retinal break located at the ora serrata, and it is a common cause of retinal detachments (RDs) in children and young adults. 

Unlike a retinal tear, in a retinal dialysis the retina remains attached to the vitreous base by its posterior edge. Retinal dialysis with minimal or no subretinal fluid (SRF) can be managed by in-office barrier laser photocoagulation. Scleral buckling (SB) is the long-standing treatment of choice for RD due to retinal dialysis, and it has yielded good results.

A 28 years old male presented with History of Blunt Ocular Trauma 1 week ago, followed by complaints of Floaters, Vision was largely preserved. Examination showed A retinal Dialysis from 1-5 o'clock with Vitreous attachment to it's posterior Border and SRF around it, not reaching UpTo the Macula yet. Inferior Vitreous Hemorrhage was also Noted
The Posterior Pole was in Situ.
The patient was Planned for Combined Pars Plana Vitrectomy combined With Scleral Buckling due to the large Size of the dialysis

#eye #ophthalmology #medical #oftalmologia #ophthalmologist #oftalmologista #retina #trauma

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