Management of damaged sclera in re-operations of retinal detachment

Two hundred and sixty cases has been operated in the past ten years for recurrent retinal detachment which revealed relative damage off the sclera. These patients had either an encircling procedure segmental expolant or implants. Proper diagnosis of the degree off damage, was noticed before surgery and during re-operations. Management included either a trasvitreal or extrascleral approach, a delicate procedure with special exposure techniques. In 90%, the retina was re-attached, 75% off those had visual acuity ranging from 3/60 to 6/12, and 15% had ambulatory vision only

Stress induced retinopathies [a preliminary report]

One hundred and five patients with stress induced retinopathies were managed, 30 with central serous retinopathy, 35 with retinal vasculitis and 40 with uveitis. Patients had routine ophthalmological examination, visual acuity, intraocular pressure, fundus oxamination and fluorescein angiography. Medical and laboratory investigations has been done, including medical check up, blood chemistry immunological assays and hormonal profiles. Psychological analysis including regular settings and psychometry to those patients has been done. All of them showed clear ophthalmological improvement after starting psychic therapy with different onset and degree-15% of these patients did not continue the psychatric treatment, and refused the fact of psychic disturbance. All Patients had routine medical ophthalmological treatment and laser photocoagulation, when needed-Eighty five percent of patients- which continued the psychic therapy-showed improvement of the healing process and noticed to be able to cope better with their disease