Abstract

A 17- year- old boy ambulatory till 5th standard and now with a vision of PR inaccurate in the right eye with a complicated cataract and chronic retinal detachment with advanced proliferative vitreoretinopathy (PVR)changes following an injury with a brick. The left eye was no perception of light with a closed funnel retinal detachment. An informed consent was taken and guarded visual prognosis explained.

He underwent pars plana lensectomy followed by total vitrectomy and 360 relaxing retinectomy due to anterior PVR. On eversion of the retina there were multiple crystalline deposits of calcium oxalate resembling “icicles” which were sent for biochemistry evaluation. Finally PFCL- silicone oil exchange was done to settle the retina.

Post- operatively he gained a vision of 5/60 and again became ambulatory.
This video highlights the formation of retinal icicles which are calcium oxalate crystals which deposit due to a change in pH in chronic retinal detachment and retinal degeneration.