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Year : 1964  |  Volume : 12  |  Issue : 1  |  Page : 14

Non-traumatic retinal detachment in young persons

Medical College & M. Y. Hospital, Indore, India

Date of Web Publication13-Feb-2008

Correspondence Address:
B K Dhir
Medical College & M. Y. Hospital, Indore
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Source of Support: None, Conflict of Interest: None

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How to cite this article:
Dhir B K. Non-traumatic retinal detachment in young persons. Indian J Ophthalmol 1964;12:14

How to cite this URL:
Dhir B K. Non-traumatic retinal detachment in young persons. Indian J Ophthalmol [serial online] 1964 [cited 2020 Aug 14];12:14. Available from: http://www.ijo.in/text.asp?1964/12/1/14/39065

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 Top

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.[4]

  Summary Top

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 Top

Cameron M. E. (1960), Brit. J. of Ophthal, 44, 541.  Back to cited text no. 1
David A. and Wyber K. (1960). Brit. J. of Ophthal, 45, 818.  Back to cited text no. 2
Rubine A. (1947), Amer. J. of Ophthal. 30, 361.  Back to cited text no. 3
Stallard H. B. (1947). Brit. J. of Ophthal. 30, 547.  Back to cited text no. 4


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