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International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109

Volume 9, Issue 2, December 2013 pp 245-247

Case Report

Vitreoretinal Intervention in Trivial Trauma Related Ocular Complications in Three Cases of Ehlers- Danlos Syndrome

 

V. H. Karambelkar1, G. Gadre2, Ankit Sharma3, Viraj Pradhan4

1Professor, 2Assistant Professor, 3,4Resident, Department of Ophthalmology

Krishna Institute of Medical Sciences and Research Centre, Karad, Satara, Maharashtra, INDIA.


Academic Editor : Dr. Aher K.R.

Abstract

 

Vitreoretinal surgical intervention was done in three separate cases of serious ocular complications in EhlersDanlos syndrome. In the first case with endophthalmitis with perforated ciliarystaphyloma - pars plana vitrectomy with intravitreal antibiotics was done, followed by scleral patch graft in second stage. The second case, a one eyed patient with equatorial staphyloma with 360 degrees supra choroidalhaemorrhage and vitreous haemorrhage was taken for suprachoroidal drainage with vitrectomy and silicon oil insertion.Third case with globe rupture with anterior dislocation with massive suprachoroidalhaemorrhage had no PL.After 2 weeks on steroids patient was developed perception of light with faulty projection of rays and he was taken for vitreoretinal intervention twice.  At 6 months follow-up the cases had encouraging vision with the first two maintaining stable globe with corrected visual acuity of 6/60 and the third case had finger counting close to face. EDS type VI is associated with ocular problems and to the best of our knowledge this is the first report (pubmed central and google search) with vitreo retinal intervention.