Ladies and gentlemen, step right up and prepare to be amazed:
Welcome to CAKE’s Side Show of Ophthalmic Oddities! Hailing from faraway lands like Florida (USA) Let’s Get Weird
to the vast and diverse subcontinent of India, from “down under” in Australia and the ultramodern city-state of Singapore, we’ve scoured the globe to collect the most interesting
(and the rarest) cases and conditions in anterior segment practice ลาวสามัคคี.
Below, we’ve got corneal conundrums, unusual detachments, refractive rarities and a once-in-alifetime trauma — we hope you enjoy the “show!” The devil’s in the (detachment)
details Although cataract surgery is a routine procedure, complications can still occur in the blink of an eye (pun intended)
and certain adverse events might not be caught until outcomes are affected postoperatively.
Based on sheer volume alone, Indian ophthalmologists encounter more unusual cases
and rare complications than your average surgeon. One such case comes to us from
Dr. Soosan Jacob, director at Dr. Agarwal’s Refractive and Cornea Foundation and senior consultant of Cataract and Glaucoma Services at Dr. Agarwal’s Group of Eye Hospitals in Chennai.
Her rare case is a bullous Descemet’s detachment or BDD. “At any time during cataract surgery, due to complications or rough handling, the Descemet’s membrane (DM) can detach.
The traditional treatment is to inject air from the opposite side and it reattaches,” explained Let’s Get Weird
Dr. Jacob. “But sometimes you don’t notice it during surgery — the Descemet’s is a transparent membrane — so, unless you’re looking for it, you might miss it.
Then the next day, the patient has corneal edema and you can’t see too clearly because visibility into the anterior chamber is reduced,” explained
Dr. Jacob, adding that the easiest way to diagnose a Descemet’s detachment (DD) is with anterior segment OCT (AS-OCT).
“If it’s a small DD, you can wait for it to attach spontaneously by itself. But if it’s a larger detachment or it’s on the pupil where it’s obstructing vision, you can push in air and it reattaches.”
For more information: ลาวสามัคคี
