VT39 : Post traumatic Epimacular membrane removal in a young adult.

Dr.CHINMAY NAKHWA

A 18 year old boy had complains of defective vision in the left eye since 6 months. He had history of blunt trauma to that eye six months prior to presentation. On examination he had dense vitreous hemorrhage with a thick epimacular membrane. There was no evidence of vasculitis or intraocular inflammation in either eye ( Fluorescien angiography was done to confirm this). A pars plana Vitrectomy with ERM removal was planned. During surgery, an incomplete PVD with avulsion of a retinal blood vessel was noted. After vitrectomy the ERM was stained and removed in toto. The ERM was most likely due to reactive gliosis secondary to incomplete PVD and vitreous hemorrghage. We used a 3D vitrectomy system during this surgery. The colour channel changes which can be used to enhance the visualisation of small retinal membranes are an added advantage in carrying out such delicate surgeries. The boy did well post operatively and improved to 6/9 vision in the operated eye in 6 weeks.