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CME QUIZ
Year : 2020  |  Volume : 18  |  Issue : 2  |  Page : 149-150

Understanding the radiological imaging of the eye explant


Department of Ophthalmology, Tung Wah Eastern Hospital, Hong Kong, China

Date of Submission01-Jan-2020
Date of Decision01-Feb-2020
Date of Acceptance17-Feb-2020
Date of Web Publication17-Apr-2020

Correspondence Address:
Dr. Sunny Chi Lik Au
9/F, MO Office, Lo Ka Chow Memorial Ophthalmic Centre, Tung Wah Eastern Hospital, 19 Eastern Hospital Road, Causeway Bay, Hong Kong
China
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/cmi.cmi_1_20

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How to cite this article:
Au SC, Ko CK. Understanding the radiological imaging of the eye explant. Curr Med Issues 2020;18:149-50

How to cite this URL:
Au SC, Ko CK. Understanding the radiological imaging of the eye explant. Curr Med Issues [serial online] 2020 [cited 2020 May 30];18:149-50. Available from: http://www.cmijournal.org/text.asp?2020/18/2/149/282773




  Case Scenario Top


An 81-year-old female with a history of repeated fall at the hostel, suffered from another fall episode with head injury over the table corner. She presented to the hospital with forehead bruises; otherwise, physical examinations were unremarkable without any focal neurological signs. Other than dementia and diabetes mellitus, she suffered from right eye retinal detachment a decade ago, presenting as right eye floaters with inferonasal visual field defect. Surgical repair by Drain-air-cryotherapy-explant (DACE) surgery was done with encircling band No. 240 (FCI Ophthalmics, MA, USA) sutured on the sclera, whereas buckle no. 277 and sleeve no. 70 were placed over the superotemporal region.

Concerning this episode, she did not complain any visual field defect. The eyes were not red, extraocular movement was normal, with no diplopia, and fundoscopy showed normal optic disc and macula, with mild nonproliferative diabetic retinopathy. On X-ray orbit, there were no signs of orbital fracture such as orbital rim discontinuity, pneumo-orbit; teardrop sign (two-dimensional projection of herniated intra-orbital tissue, e.g., fat, over the inferior orbital fracture gap into the maxillary sinus) was absent, and maxillary sinuses were not filled by the fluid level. Computed tomography revealed no intracranial hemorrhages but hyperdensity in collar configuration around the right globe.


  Questions Top


  1. What are the types of retinal detachment?
  2. What are the visual symptoms of retinal detachment?
  3. How is rhegmatogenous retinal detachment treated?




Click here to view answer. View Answer
Ethical statement

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.{Figure 1}

Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Banaee T, Hosseini SM, Helmi T, Ghooshkhanei H. Encircling narrow band versus buckle for retinal detachments with intrabasal or unseen retinal breaks. J Ophthalmic Vis Res 2015;10:55-9.  Back to cited text no. 1
[PUBMED]  [Full text]  
2.
Shanmugam PM, Ramanjulu R, Mishra KC, Sagar P. Novel techniques in scleral buckling. Indian J Ophthalmol 2018;66:909-15.  Back to cited text no. 2
[PUBMED]  [Full text]  
3.
Shunmugam M, Shah AN, Hysi PG, Williamson TH. The pattern and distribution of retinal breaks in eyes with rhegmatogenous retinal detachment. Am J Ophthalmol 2014;157:221-60.  Back to cited text no. 3
    


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