Macular Pucker Case2
- 60 years old lady presented with routine eye check up on 19-06-2007 with visual acuity 6/6 N6 in left eye & fine idiopathic cellophane maculopathy in left eye confirmed on OCT.
- She was asked to conserve.
- She came on 21-04-2009 with distorted vision in left eye. Visual acuity 6/18p N10 in left eye & with definite Epi Retinal Membrane on OCT.
- She underwent vitrectomy with ERM removal.
- 2 months post op her retina looked better but visual acuity dropped to 6/24.
- Patient underwent subsequent cataract surgery with IOL & fundus became better & vision improved to 6/18p N10 with no ERM on OCT.
- This case highlights that combined vitrectomy with Phaco could be a better choice than doing two separate surgeries as visual acuity decreased after vitrectomy due to cataract.
- Patient still complaint of distorted vision though anatomy has been restored well.
- Illustrating the need of early surgery in such type of cases with predictable results.
