A 30 year old lady, presents with decreased vision in left eye. Right eye has congenital malformation and phthisical. Left eye vision only counting fingers at 1 meter!!. FUNDUS exam shows congenital Optic pit with serious inferior retinal detachment. Clear lens.
1) Absolutely one eyed patient 2) Optic pit patients are know to have very sticky vitreous and one of the most difficult for PVD induction 3) Optic pits communicate with CSF. Silicone oil is contraindicated. Lady has 1 year old twins. Putting gas will temporarily blind her for 3-4 weeks 4) High chances of recurrent detachments due to proliferative vitreoretinopathy.