clinical challenges

Central Serous Chorioretinopathy (CSCR)

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  Clinical Challenges   Central Serous Chorioretinopathy (CSCR) Central serous chorioretinopathy is an eye disease which often results in temporary visual impairment and is characterised by leakage of fluid under the retina, predominantly in the central macula. It is brough about by stress, smoking, steroid use, sleep disturbances and even natural events like pregnancy. If diagnosed early, it is easily treatable via Medications and lifestyle modifications. Incase, it is neglected, long term pooling of fluid in the macula can cause the death of nerve cells in the retina, resulting in permanent vision loss. In few patients, the condition may be recurrent and can occur either in the fellow or same eye.

Conjunctival Hooding

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  Surgical Corner   Conjunctival Hooding Conjunctival hood/gunderson’s flap is a technique which is used in the treatment of painful blind eyes. The technique utilises the conjunctival tissue (which is available in abundance), as a blanket over the exposed corneal nerve fibres, thereby inhibiting the pain response. The procedure, if performed well, offers consistent and long term pain relief with acceptable cosmesis, without the need for any further touch ups or adjuvants. Patients wishing for perfect cosmesis can very safely fit an acrylic shell over the flap, without having to worry about the risk of irritation, inflammation or infection.