|Year : 1964 | Volume
| Issue : 1 | Page : 14
Non-traumatic retinal detachment in young persons
Medical College & M. Y. Hospital, Indore, India
|Date of Web Publication||13-Feb-2008|
B K Dhir
Medical College & M. Y. Hospital, Indore
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Dhir B K. Non-traumatic retinal detachment in young persons. Indian J Ophthalmol 1964;12:14
Attention may be drawn to a type of detachment that takes place in young persons with no history of trauma. According to Cameron (1960), non-traumatic dialysis is the most important cause of retinal detachment in young persons. In a series of 22 cases, he recorded no trauma in 55 per cent of cases. This type of detachment was noted in the age group 15-35 years. It was twice more common in males. Schawb (1940), Stallard (1947) and Rubine (1947) also noted non-traumatic detachment in pre-existing retinal cysts. David and Wyber (1961) emphasised the formation of retinal hole preceding any signs of a true retinal detachment.
According to Cameron, prognosis is good in non-traumatic retinal detachment with dialysis. It mainly depends upon site and extent of detachment. If the macula is involved, the prognosis is bad.
| Case Reports|| |
Case No. 1. Patient named Ram Gulam aged 30 years was admitted with the complaint of loss of vision of the right eye of 5 days duration, first starting from the nasal side. The right eye showed ill-sustained pupillary reaction and visual acuity of finger counting at one foot, on temporal side only. Fundus examination showed detachment of retina in the lower temporal quadrant extending from 6 to 9 o'clock position. The left eye showed myopia of 3 diopters.
After complete rest in bed for 5 days a dialysis at 7 o'clock position was detected. Surface diathermy in two rows between 6 to 8 o'clock positions was done. About l.cc of clear subretinal fluid was aspirated.
Visual acuity improved to 6/12 seven weeks after the operation.
Case No. 2. Patient named Bal Mukund was admitted with the complaint of loss of vision of the right eye of 10 days duration. His age was 20 years. On examination the right eye showed ill sustained pupillary reaction. Visual acuity was finger counting, from 2 feet. Fundus examination showed retinal detachment in a position between 5 and 9 o'clock. A hole was detected at the ora serrata at 7 o'clock position. Treatment with diathermy as outlined above was given. Improvement in visual acuity to 6/9 occurred six weeks after the operation.
| Summary|| |
Two cases of detachment of retina are described. Both were males and below 30 years of age, where loss of vision occurred during routine work and was not at all associated with physical trauma. Both showed detachment at the lower temporal quadrant with dialysis of retina at the ora serrata. In both cases surface and penetrating diathermy achieved the desired results.
| References|| |
Cameron M. E. (1960), Brit. J. of Ophthal, 44, 541.
David A. and Wyber K. (1960). Brit. J. of Ophthal, 45, 818.
Rubine A. (1947), Amer. J. of Ophthal. 30, 361.
Stallard H. B. (1947). Brit. J. of Ophthal. 30, 547.