Importance Of Proper Pre Op Examination
- Patient presented with scotoma of 4 days duration in right eye & has 6/9 N6 vision with Acute superior retinal detachment
- What is unusual about this detachment?
- Patient has undergone bilateral phaco with IOL surgeries & recently yag laser capsulotomy both eyes.
- Patient has multiple rows of lattice degeneration in left eye which is not still detached!
- Patient would have had lattice degeneration in right eye also which if could have been lasered before or after cataract operation or before yag laser or after yag laser, one would have avoided this detachment
- Prophylactic treatment of lattice degeneration prior to cataract surgery is age old practice.
- If everyone learns & sees perifery of retina with indirect opthalmoscopy which is not so difficult this could definitely be avoided. Though we all are good surgeons we need to become good clinicians
