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Answers: 2006 Series -  November 7, 2006 Lecture 8 of 52  NEXT»

To see views enlarged, click on the individual pictures...


A 41-year-old woman complained of bright flashes in the left eye for two months and also a “shadow” in the lower field of the left eye.  Vision is 20/20 in each eye and the refraction is OD and OS +. 50.  Intraocular pressure is 14 mm Hg in both eyes.  The left retina looks as shown in the in the photograph.

1.  This retinal image is compatible with a diagnosis of:   
 

d -- retinal traction with a vitreous band

This is an obvious example of a vitreous band causing traction on the retina.


 

2.  The next step with this patient should be:  
 

c -- observation if the retinal detachment is stable and the macula remains attached

This condition can be simply observed for now.


 

3.  If there is progression of the process with increased detachment or loss of vision:  
 

b -- Prompt vitrectomy is indicated.

If there is progression, vitrectomy should be done promptly.


Lecture 8 of 52 «Previous Lecture   1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52    Next»