Scleral buckling (SB) was successful with good functional and anatomical outcome., however it has minimal effect on corneal topography. Although majority of cases are associated with atopic dermatitis and eye rubbing. In keratoconus, RD can occur without any predisposed or preceding condition. There were minimal changes in the keratometry values post operatively with flattening of vertical meridian and horizontal meridian. Ocular Motility Worksheet now located in. Placido based corneal topography was done pre operatively with keratometry reading of RE - K1 K2 - and repeated at the end of three months follow up with readings of RE - K2- 8˚. Keratoconus, Pellucid Marginal Degeneration, or Corneal Ectasias 12.10. In post operative follow up, the retina was attached. For RE she underwent uneventful scleral buckling surgery. She gave no history of vigorous eye rubbing or atopic dermatitis. She was diagnosed as both eyes keratoconus with RE near total rhegmatogenous retinal detachment (RRD) with sub retinal gliosis. She was aphakic with VA of 1/60 and 2/60 in the right and left eye respectively. A retinal detachment can result in permanent vision loss if not addressed. Retinal detachment surgery recovery timelines are different for each type of surgery, but the overall range is four to eight weeks. The main purpose was to know the outcome of scleral buckling and its effect on corneal topography in a case of keratoconus with RRD.Ī 35 year old female presented with diminution of vision in both eyes since childhood, but more so in the right eye (RE) since last 6 months. There are three types of surgery used to repair a detached retina. We came across an isolated case of Keratoconus with Retinal detachment without any pre existing comorbidities unlike earlier reports where patients with history of atopic dermatitis had Keratoconus associated with RRD. This may be asymptomatic, but sometimes a patient can notice the sudden onset of. As we age, vitreous gel liquefies, condenses and separates from the surface of the retina, a process called posterior vitreous detachment, or PVD. Our eyes are filled with a clear, gel-like substance called vitreous. Our patient underwent Scleral Buckling with good anatomical results. Retinal detachment may occur as we get older. Visualisation of fundus due to altered reflex along with axial myopia could pose difficulty while performing pars plana vitrectomy. Management of Rhegmatogenous Retinal Detachment (RRD) in keratoconus could be challenging in various aspects.
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