Hi,
One of my cousin, a male of 21 years of age got injured in a blast in Feb, 08. His right eye was severely damaged which was later replaced by prosthesis. His Left only eye had Corneal opacity with intraocular foreign bodies.
On 14th March, 08 he underwent PPV with removal of 10 F.B from left eye, phacoemulsification and oil insertion.
On 16th July, 08 oil was removed. It was re-injected on 24th Oct, 08 after a retinal break was found. On 9th Oct, 08 the fundus examination showed macula off retinal detachment.
On 2nd Feb, 09 the findings in left eye included:
- Oil in A.C
- Band Keratopathy
- Optic Atrophy
Left eye chelation was done on 12th May, 09. Mucopurulent discharge with corneal infiltrate was seen on 27th Jul, 09 for which the culture was found to be +ve for staph species. Treatment was given and on 3rd Aug, 09 conjuctival flap and tarsorrhapy was done for left eye. Tarsorrhapy was opened on 6th Jan, 10.
On 9th Apr, 2010 findings included Lt. vascularized C.O + bullae.
Findings on 14th Jun, 10 were:
- Lt subconjuctival oil droplet
- Lt corneal edema & vascularization
He was on treatment for decompensated cornea because of history of BK.
On 5th June, 10 the findings were:
- Pannus ++
- Corneal edema ++
- Decompensated cornea ++
- Pseudophakic
Now he has stuck in a situation where Retinal consultants are of the opinion that they can't operate to remove oil until cornea has been operated since they can't see the oil clearly. On the other hand, Corneal experts are reluctant to operate until and unless oil has been removed. We have been to many experts in the country but still nobody has given us any satisfactory direction. One of the Corneal expert is willing to operate but with no surety of success. So, I would be really obliged if i am given an expert opinion on how to proceed.
Thanks & Regards,
Adil