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
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.