A young 32 year - old marketing officer suddenly developed floaters and a shadow in the lower part of his vision in the right eye. He immediately went to a Retinal surgeon for a check up. He had myopia and was using glasses of minus 6.5 power in the right eye and minus 4.5 in the left eye. On examination his visual acuity was 6/6 both eyes. Retinal examination with Indirect Ophthalmoscope showed a superior hole in a lattice with surrounding localized Retinal Detachment in the right eye. The central part (macula) was still attached. Left eye had weak areas in the retinal periphery (Lattice Degeneration) with a small atrophic hole in the inferior quadrant.

Keeping in view the localized nature of the detachment and the healthy macular status, the patient was advised to undergo immediate Scleral buckling surgery in the right eye. It was explained to him that delay in the surgery was likely to increase the detachment and increase the chances of macula getting detached, which would worsen his visual prognosis. He underwent the surgery on the same day. Postoperatively his retina was attached and his vision remained 6/6, though he had a change in the number of his glasses in the right eye that was prescribed 6 weeks later.

He also underwent prophylactic laser in the left eye to the small hole, to prevent a retinal detachment in the future as he already had a detachment in the other eye.

A 63-year old gentleman came with marked loss of vision left eye of 1 day duration. He had developed floaters and flashes in the eye 2 days before this. He had a history of cataract surgery in the same eye 6 months back, which was uneventful with good postoperative vision. Visual acuity in the left eye was Hand movements and fundus examination showed Retinal Detachment with a large tear in horizontal meridian. There was mild vitreous hemorrhage also. Since the tear was quite at the back, Scleral Buckling alone was not sufficient to settle the Detachment. So patient was advised to undergo Vitrectomy, which he underwent the next day. The vitreous traction on the tear flap was relieved, vitreous hemorrhage removed, retina flattened and silicon oil injected.

Post operatively some laser was done. 2 weeks later some membranes formed on the retina and lifted it up (Proliferative Vitreo Retinopathy). The patient underwent revision Vitrectomy to peel off the membranes with reinjection of silicon oil. Subsequently his retina remained stable and the silicon oil was removed by a small surgery after 3 months. His postoperative vision was 6/18 and he was quite comfortable in reading and watching television.