Dr.

Muhammad Hannan Jamil

FRCS, FCPS, FCPS (VR)

13 March 2016

Vitreo-Retina Cases
16th Feb 2016 to 2nd March 2016
at LRBT Multan Rd. Lahore

Following are details of the posterior segment surgeries performed in 12 OT sessions

during a period of 2 weeks at LRBT, Lahore (Multan Rd.). None of these cases was pre-
booked, rather all surgeries were serially picked from our running routine OPDs.

Case 01 VIDEO: RD.mp4

OPD Slip No 1499584

Name Shahnaz BB

Age / Gender 45 / F

CNIC 3520279100344

Cell No 0322 7985239

Address Muhammadi Colony, Mozang Lahore

Surgery Date 16/02/2016

Eye / Diagnosis L / Fresh superior RD macula Off, HS tear 11:30 clock hour, P.Phakia,
PVD

Surgery Notes 23 G PPV—> trimming of break flap—>AFX—>Endo laser to break and

drainage retinotomy —> 15 % C3F8 Air-Gas exchanage—>Face down for 24
hour

VR CASES REPORT 2016 !1

 Case 02
OPD Slip No 1499554

Name Asma BB

Age / Gender 68y / F

CNIC 3520276458850

Cell No 3454711642

Address Shah Pur City, Lahore

Surgery Date 16/02/2016

Eye / Diagnosis R / BRVO related NVE and Vitreous Haemorrhage in Phakic eye

Surgery Notes 23 G PPV—> vitrous-rhexis—> EL to superotemporal ichemic area—

>peripheral search for iatrogenic breaks—>AFX—>closing eye in air

Case 03
OPD Slip No 1499768

Name Muhammad Baksh

Age / Gender 53 y / M

CNIC 3120401895403

Cell No 0302 6595140

Address Bhatta Pind Defence Rd. Lahore

Surgery Date 17/02/2016

Eye / Diagnosis R / Cataract, Near Total Retinal Detachment with break at 12 o clock
and small super-temporal wedge attached. macula was off and No
PVD could be appreciated

Surgery Notes Combined Phaco with 23 G PPV —> PVD induction—>vitreous base shaving
around primary break—>drainage retinotomy superb-nasal —>AFX—>Endo
laser barrage—> 15 % C3F8 gas Tamponade —> Face down for 24 hour

VR CASES REPORT 2016 !2

 Case 04
OPD Slip No 1499119

Name Ali Khan

Age / Gender 45y / M

CNIC 7110491299553

Cell No 0315 6550092

Address Gilgit

Surgery Date 18/02/2016

Eye / Diagnosis R / Traumatic vitreous Haemorrhage with primary corneal tear repair
and iris abscission done elsewhere. B-scan proven TRD in inferior
retina

Surgery Notes 23 G PPV —> excising peripheral traction of vitreous on inferior & nasal retina
—> laser barrage around TRD —> AFX—> closing eye in air.

Case 05 VIDEO: Redo PPV.mp4

OPD Slip No 1499631

Name Muhammad Yasin

Age / Gender 65 Y / M

CNIC 3530320632065

Cell No 0305 6401410

Address Okara

Surgery Date 18/02/2016

Eye / Diagnosis L / Post Silicon oil removal Bullous Total RD. Previous Retinal
surgeries done elsewhere: Phaco + Encirclage + PPV + Silicon oil
followed by ROSO 6 months after.

Surgery Notes 23 G PPV —> drainge retinotomy to flatten retinlal bullae—> identification of
Re-detachment causing break near equator at 8 o clock—>AFX—>laser sexy
around break and retinotomy—> 1000 CS silicon oil—>face down for 24 hour

VR CASES REPORT 2016 !3

 Case 06 VIDEO: ILM peel

OPD Slip No 1498716

Name Muhammad Ayub

Age / Gender 67 Y/ M

CNIC 3410196920559

Cell No —

Address House No 3-1-S, Noor Bab, Gujranwala

Surgery Date 19/02/2016

Eye / Diagnosis L / Epiretinal Membrane associated with Lamellar hole, Phakic eye

Surgery Notes 23 G PPV —> PVD induction—> BBG dye —> ERM/ILM peel —> peripheral
search for breaks —> eye closed in air with face down posture for three days

Case 07
OPD Slip No 2164161

Name Sajjawal

Age / Gender 70 Y / M

CNIC 3510342084337

Cell No 0306 4241820

Address Hanjarwal Post office khas, Pattoki, District Kasur

Surgery Date 22/02/2016

Eye / Diagnosis R / Pseudo-phakic, PC rented Inferior Retinal Detachment, macula Off

Surgery Notes 23 G PPV —> PVD induction —>break identified posterior to equator at 3 o
clock—> AFX —> laser Barrage —> 15 % C3F8 Gas—> face down for 24
hours and then upright posture for 2 weeks

VR CASES REPORT 2016 !4

 Case 08
OPD Slip No 1499732

Name Muhammad Imran

Age / Gender 32 / M

CNIC 3530166171353

Cell No 0306 9896933

Address Lahore

Surgery Date 23/02/2016

Eye / Diagnosis R / Eales Disease related Vitreous Haemorrhage

Surgery Notes 23 G PPV —> vitreo-Rhexis—> inferior to arcade TRD related membrane
segmentation / delamination —> small iatrogenic break —> EL to ischemic area
and around breaks—> AFX—>Silicon oil 1000 CS

Case 09
OPD Slip No 1499705

Name Sakeena BB

Age / Gender 65 Y /F

CNIC 3520258118660

Cell No —

Address Lahore

Surgery Date 23/02/2016

Eye / Diagnosis L/ VMT (OCT proven), Diabetic, Macular Edema

Surgery Notes 23 G PPV —> PVD induction —> ILM peel —> AFX —> Face down posture
for 1 week

VR CASES REPORT 2016 !5

 Case 10 VIDEO: IOFB.mp4

OPD Slip No 2169624

Name Muhammad Basim

Age / Gender 26 Y/ M

CNIC 3630234311811

Cell No 0300 2545769

Address Lahore

Surgery Date 25/02/2016

Eye / Diagnosis R / Metallic IOFB (B-scan & X-ray confirmed)- Hammer on steel injury.
corneal tear repair, I/A and in sulcus Multi-piece IOL implant already
done

Surgery Notes 23 G PPV —> PVD induction —> peripheral search for IOFB —> PFCL
bubble on macula —> IOFB dislodged —> enlarging sup-temporal sclerotomy to
5 mm —> picking IOFB from retinal surface using conjunctival forceps —>
closing sclerotomy with 7/0 vicryl —> completing vitrectomy —> LASER pexy
around site of impaction and adjacent to enlarged sclerotomy—> 1000 CS silicon
oil tamponade.

Case 11
OPD Slip No 1499105

Name Muhammad Ahmed

Age / Gender 66 Y/ M

CNIC 3520222766203

Cell No 3334287210

Address Bakkar Mandi, Lahore

Surgery Date 26/02/2016

Eye / Diagnosis L / Total Bullous RD, P.Phakic, postrior capsulotomy, PVD present.

Surgery Notes 23 G PPV —> supero-nasal drainage retinotomy to flatten bullae—>peripheral

search for breaks —> 3 tiny breaks (2 in superotemporal and 1 in superb-nasal
quadrants) were identified and marked with endo cautry—>AFX—>LASER
barrage—> 1000 CS Silicon oil—> face down for 24 hours

VR CASES REPORT 2016 !6

 Case 12 VIDEO: Diabetic TRD.mp4

OPD Slip No 14984880

Name Ishfaq Ahmed

Age / Gender 50 Y/ M

CNIC 3810132675722

Cell No —

Address Chak No 102, Istehsali post office khas, Sirgodha

Surgery Date 27/02/2016

Eye / Diagnosis Diabetic Vitreous Haemorrhage with arcade to arcade fibrovascular

membrane

Surgery Notes 23 G PPV—> vitreo-Rhexis—>Membrane segmentation + Peel (forceps / cutter

on suction)—> PRP—>AFX—>Barrage to Nasal iatrogenic Break near equator
—>1000 CS silicon oil—>Face down posturing for 2-3 weeks to flatten macular
area

Case 13
OPD Slip No 951229

Name Abdul Razzaq

Age / Gender 40 /Y

CNIC 3520257965543

Cell No 0320 1428012

Address Mohalla Ghausia, street band rd. Lahore

Surgery Date 29/02/2016

Eye / Diagnosis R / Fresh Temporal RD, Phakic with break at 10:30 clock hour, macula
Off

Surgery Notes 23 G PPV—> PVD induction —>AFX—> Endo Laser—> 1000 CS silicon oil
tamponade (Gas was preferred but not available)

VR CASES REPORT 2016 !7

 Case 14
OPD Slip No 951171

Name Zainab BB

Age / Gender 50 y/ F

CNIC 3650297713776

Cell No 0304 4232730

Address Dist. Sahiwal

Surgery Date 01/03/2016

Eye / Diagnosis L / Hard Nucleus Drop with non dilating pupil

Surgery Notes 23 / 20 G hybrid PPV—> PFCL supported Phaco-fragmentation—>eye closed

in fluid

Case 15
OPD Slip No 951253

Name Manzoor Hussain

Age / Gender 50 Y/ M

CNIC 3520246521489

Cell No 0324 4402479

Address Thokkar Niaz Baig, Lahore

Surgery Date 02/03/2016

Eye / Diagnosis R/ Diabetic Vitreous Haemorrhage, Phakic eye, macular membrane

Surgery Notes 23 G PPV—> vitreo-rhexis—> macular membrane peel —> EL —>AFX—>eye

closed in air

VR CASES REPORT 2016 !8