Abstract

A 11 year old one eyed boy with vision of 1/60 in the left eye,aniridia, subluxated lens and rhegmatogenous retinal detachment with PVR and vitreous hemorrhage. A history of glaucoma with gross cupping of ONH.
A pars plana lensectomy was done followed by total vitrectomy and this was followed by silicone oil retension sutures by rail road technique to keep the silicone oil oil away from the anterior chamber thereby protecting from increase in intraocular pressure and decompensating the cornea.Silicone oil was injected subsequently.

Silicone oil removal was done and the child gained a vision of 6/60,N36 making him ambulatory again

This video highlights the technique of silicone oil retension sutures in such aniridic patients thereby helping in avoiding a decompensation of the cornea and visual rehabilitation.