RetinaLink Profile: Dr. Lejla Vajzovic ~ Retinal Detachment – Exudative or Rhegmatogenous?

Dr. Lejla Vajzovic is an Associate Professor of Ophthalmology, Director, Duke Center for Artificial and Regenerative Vision, Co-Director, Duke Pediatric Retina and Optic Nerve Center and Director, Duke Eye Center Continuing Medical Education at Duke Eye Center in Durham, North Carolina. Dr. Vajzovic was one of the panelists for ALCON’s Retina Exchange broadcasts on June 12th in Fort Worth.

Lejla Vajzovic, MD

Today, RetinaLink highlights Dr. Vajzovic’s surgical video featuring her 18-year-old aphakic female patient who was referred to her since there was an appearance of an inferior retinal detachment (RD). This young patient had B27 uveitis, inflammation in her anterior chamber and undergoing treatment for flare. The question is whether the RD is exudative or rhegmatogenous?

Dr. Vajzovic said, “my initial treatment was a very aggressive course of steroids. Then, I operated using a 25-gauge platform and I like to use TRIESENCE® (triamcinolone acetonide) especially in younger patients to highlight the vitreous and lift-up the hyaloid. PFO was key during this surgery so I could depress to find small retinal breaks. I made a posterior retinotomy which allowed me to properly drain the subretinal fluid with a soft tip cannula. I did a PFO exchange and created a drainage retinotomy with the sandwich technique. Since the patient was aphakic, the PI was critical.” She added, “I went slowly and took time to remove the PFO. I sealed off the break with laser and closed the sclerotomies to ensure no bleeding would occur due to the injected conjunctiva and inflammation.”

Dr. Vajzovic can be reached via e-mail – lejla.vajzovic@duke.edu

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