A 33-years old man with sudden cerebral hemorrhage after vetrectomy

A 33-years old man with sudden cerebral hemorrhage after vetrectomy

A 33-years old man who had a vetrectomy surgery for the diabetic retinopathy two days ago suddenly appeared cerebral hemorrhage at 9 pm last night. His blood glucose and pressure level was below 8 mmol/L before and the two days post surgery. The vetrectomy operation was very trouble free and C3F8 was injected in as tamponade. He was in prone position after surgery. At 9 pm last night, he said, ‘God, I am dying’. His wife run to the nurse, and the duty doctor run out immediately from the emergent surgery More >

Anterior chamber disapeared after vetrectomy on diabetic retinopathy

A middle aged man with diabetic retinopathy after vetrectomy

A middle aged man with diabetic retinopathy at advanced stage (retinal detachment and epi retinal membrane) suffered a vetrectomy surgery the day before yesterday. The right eye was neovascular glaucoma. The other eye was the operated eye. Today he complained his left eye had no light perception. I checked the eye and found his anterior chamber nearly disapeared, lens with cataract swelled, silicone oil tamponaded and blood under retina (may be under choroid). So I gave mannitol 250ml and dexamethasone 5mg immediately. Timolol and were also used to decrease the intraocular pressure. More >

One day of a ophthalmologist

Today’s work summary

Today is Monday, a busy day as usually. 7 patients with retinal problem and two patients with traumatic problem come to us. One of the traumatic patients who was hurt 3 days ago is endophthalmitis accompanied with intraocular foreign body . A emergent vetrectomy surgery was performed today. Another is scleral rupture that was wounded by glass fragment a week ago. The emergent sutures were done by me. The 7 patients with retinal diseases are: 2 vitreous hemorrhages ( one with retinal detachment ), 2 retinal detachments with giant tears, 2 diabetic retinopathies (advanced stage of proliferation) and More >

How to protect your girl from cornea penetrating and traumatic cataract

A young girl with cornea penetrating and traumatic cataract

A youn girl’s right was hurt by a scissors accidently when she tried to open the milk package. She was immediately sent to the local clinical and was suggested to refer to us. She arrived at 9 am. Because she had breakfast at 8:30, so the emergent surgery had to perform at 4 pm under general anesthesia. I was the main surgeon. The wound located at the temple-inferior quadrant about 5mm. Three sutures was performed using 10-0 nylon suture. A week later, a cataract surgery and anterior vetrectomy was performed. The posterior More >