BOUQUET OF VR CASES

1. CASE PRESENTATIONS: Dr Ajay Dudani

2. 60 yr lady,15 yr DM Uncontrolled ,
Vision : 6/60 N36 OU
AUG 11 -SEVERE NPDR with CSME
Therapy :
1.BE- Laser + Avastin
2.BE Ozurdex AS MAINTENENCE
3. Pred Forte + Nevanac
12MONTHS LATER
4. Cataract surgery with Ozurdex
PREOP AVASTIN WITH LASER
5 FINAL VISION 6/12 N8

7. ONE YEAR LATER
Avastin PRN AND ozurdex given

12. Today
 Keeps developing csme
 Fill in laser done
 Maculae dry better with ozurdex
 Avastin reduces thickness
 Cysts disappear with ozurdex
 TOTAL 6 OZURDEX BOTH EYES AND 10
AVASTINS OVER 4 YRS

15. 1 Eyed ,60 yr male
DM + HT WELL CONTROLLED
Left eye : BLOOD AND THUNDER
CRVO WITH CME 6/60 N36 -FEB
2011
Therapy :
1. Laser DONE BEFORE FOR NPDR
2. Two Macugen (H/O MI )
2 OZURDEX led to glaucoma
3.20 Lucentis given prn
4. Nevanac Only (as Steroid Responder)
5 POAG ON XALATAN +2 DRUGS

25. 10 MONTHS LATER
5 MORE LUCENTIS INJECTIONS
PRN
CARARACT UNDER LUCENTIS
COVER
VISION 6/18 N18

30. Today
 Total 20 lucentis later
 Vision 6/9 N10
 Needs injection every 1 ½ months
 Should we try ozurdex again
 Role for vitrectomy FOR ERM
 But he is one eyed

34. LAMELLAR MACULAR HOLE
 DEC 2015 VISION 6/18 N8
 SPONTANEOUS PVD
 LAMELLAR MACULAR HOLE
 MACULAR EDEMA KEEPS COMING BACK
 VITRECTOMY ???

35. 80 yr diabetic 30 yrs
Diagnosis :CME+CSME
status post vitrectomy for
endopthalmitis
recent stroke
ozurdex avoided to pvt reactivation of
infection
Therapy :
1. Pred Forte+Nevanac
2. Two Macugens and laser

38. Patient Name: Kamruddin Vastani.
Age : 75 Years
Diagnosis : Post Operative CME
Therapy :
1. Ozurdex
2. Pred Forte+ Nevanac

43. 3 years later with single
ozurdex

45. VKH SYNDROME
 45 Year lady
 Bilateral exudative retinal detachment
 Panuveitis
 1 gm solumedrol 5 days
 She turned out to be diabetic
 Sugars 500
 No oral steroids
 Bilateral sequential OZURDEX

51. Serpigenous choroiditis
 25 yr boy
 Bilateral serpigenous
 Oral steroids and AKT
 Active eye maintenance on ozurdex
 1 yr no activity
 Pt was in Germany for posting