Vision of 33 year old man suffering from a rare congenital eye disorder restored at Dr. Agarwal’s Eye Hospital
Bhubaneswar, February 13, 2018: (By Prasant Kumar Bhuyan) The condition was treated using a unique 4 stage complex intervention Mr. Raj Kishore Mandal today is happy and is back at his work as his sight has been restored after a successful eye surgery at Dr. Agarwal’s Eye Hospital. The 33 year old who works as a contract labour in Paradeep Port Stadium was suffering from a rare condition called eye optic disc pit with macular detachment. Eye optic disc pit or hole in the optics is a congenital disorder that occurs due to the imperfect closure of the embryonic fissure or the wall that encloses the eyes. A rare condition it is seen in one out of 10,000 people only. Many a times the condition remains asymptomatic. However, the condition has higher chances of causing macular detachment and thereby gradual loss of vision. That was the case with Mr. Raj Kishore Mandal. Though born with eye optic disc pit, he was unaware of his condition till recently. Six months ago he developed distorted vision in his left eye. The lack of clear vision started taking a toll on his work life as well.The search for an advanced treatment led Raj Kishore Mandal to Dr. Agarwal’s Eye Hospital. On examination by Dr. Samir Vankawala, Vitreo retinal surgeon, Dr. Agarwal’s Eye Hospital and teams it was identified that apart from eye optic disc pit, he had also developed macular detachment. Ie, due to the hole in the eye optic disc the fluid was filling the eyes and pushing his retina out of its place. The condition was so serious that he had already lost 50% of his vision. Asfurther delay in treatment will reduce the youngster’s chances of regaining vision, Dr. Samir and team took up the case. Traditionally the condition is been treated using laser orpars planavitrectomy, however the outcomes are unpredictable. Hence, the doctors opted for a 4 stage combination therapy which included Pars plana vitrectomy, ILM peeling, autologous ILM implantation and C3F8 gas injection.Today, Raj Kishore Mandal has not only got his vision back, he has even rejoined his work. Elaborating about the treatment, Dr. Samir Vankawala, Vitreo retinal surgeon, Dr. Agarwal’s Eye Hospital, said, “As the outcomes of traditional single interventions are not predictable, we chose the combination approach. Our first effort was to remove the vitreous gel (the gel that fills the space between the lens and the retina) from the eye through a surgical intervention called parsplana vitrectomy. Once the extra fluid in the eyes was cleared we proceeded with ILM (internal limiting membrane) peelingand autologous ILM implantation, wherein the membrane from the retina was taken and implanted on the pit, thereby closing it. The procedure was followed by a laser photocoagulation so that a wall is created blocking the flow of the fluid from the optic disc pit to the sub retinal space. This multi stage approach ensures better outcome and less chance of reoccurrence.Sharing his joy of getting his vision back, Mr. Raj Kishore Mandal said, “Until I met the doctors at Dr. Agarwal’s Eye Hospital I thought I will have to manage the rest of my life with one eye. Apart from offering me the best possible treatment, the doctors also explained the condition and treatment in detail which helped me in dealing with my anxieties.”The case of 33 year old Raj Kishore Mandal is not only a testimony of the expertise at Dr. Agarwal’s Eye Hospital it also presents a ray of hope for many who suffer from similar congenital eye complications. About Dr. Agarwal’s Eye Hospital:Dr. Agarwal’s Eye Hospital a comprehensive eye hospital offering a one-stop solution for eye ailments; was started in the year 1957. Now the hospital is in its 61styear of offering quality services in eye care. It has 15 branches in Chennai and a visible footprint in the states of Tamil Nadu, Telangana, Andhra Pradesh, Karnataka, Odisha, Andaman and Rajasthan. A tertiary eye care centre at Mauritius marks its first step towards establishing an international presence extended upto 13 branches covering the Indian Ocean region, African countries and East Asia. The hospital has received various awards for its inventions and services. In March 2006, Late Dr. J Agarwal, Founder-Chairman was awarded Padma Bhushan by the former President of India, Dr. APJ Abdul Kalam for his dedicated services to the poor and downtrodden. The hospital received visibility in the global arena for its inventions – Micro-Phakonit (Cataract surgery with 0.7 mm size incision) in 1999 and ‘Glued Intraocular Lens Implant’ performed on a 4 year old girl in January 2008 by Prof. Amar Agarwal. In February 2009, the world’s first Anterior Segment Eye Transplant Surgery was performed on a 4 month old child to treat corneal disorder. In November 2013, for the first time in the World, Dr. Agarwal’s Eye Hospital, Chennai transplanted a one year old donor cornea giving a new lease of sight to a 60 year old man through the new technique PDEK (Pre Descemet’s Endothelial Keratoplasty).