Open AccessDo oblate eyeballs exist? A rare case of rhegmatogenous retinal detachment in an elliptical globe
Author(s) -
Monita Sundar,
Prakhyat Roop,
Atul Kumar,
Rohan Chawla,
Nasiq Hasan
Publication year - 2019
Publication title -
indian journal of ophthalmology/indian journal of ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.542
H-Index - 51
eISSN - 1998-3689
pISSN - 0301-4738
DOI - 10.4103/ijo.ijo_1150_18
Subject(s) - medicine , retinal detachment , vitrectomy , oblate spheroid , ophthalmology , posterior pole , peripheral , ultrasonography , retinal , surgery , visual acuity , physics , atomic physics
A patient, being a moderate myope with an axial length of 24.71 mm, presented to us with a fresh rhegmatogenous retinal detachment and marked peripheral chorioretinal degeneration. Difficulty in maneuvering with the standard 23 gauge vitrectomy cutter, inability to identify the break due to poor peripheral contrast, inadequate laser uptake, and an unusual large silicon oil fill (7.3 ml) were a few findings raising suspicion. Postoperative ocular ultrasonography showed an oblate eyeball with a relatively longer oblique axis (26.1 mm) as compared to the axial length confirming our suspicion. Oblateness should be suspected when the chorioretinal degenerations are more marked in the periphery as compared to the posterior pole. Intraoperative difficulties should be kept in mind while operating such cases.