Dr.Sanchita Agarwal
Dr. Swarna Biseria Gupta
Abstract
To assess utility, limitations & problems of scleral depression in Indirect Ophthalmoscopy & modify it.
Method
160 eyes of 80 pts studied, 40 pts having floaters, flashes & blurring of vision underwent routine anterior & posterior segment examination by slitlamp, direct & IO with scleral depression.
Control Group B of 40 asymptomatic pts examined as in Group A.
Results
50% eyes of Gp.A revealed peripheral retinal holes, infiltration, horseshoe tear, on scleral depression only.
In Gp.B 8 eyes had myopic chorioretinal & lattice degeneration with multiple holes visible only on scleral depression.70% pts had pain during scleral depression.
It couldn’t be done in post operated cases of squint, glaucoma & RD.
Conclusion
Scleral depression maximizes visibility of peripheral retinal pathologies & their treatment. To alleviate discomfort local anesthesia may be used.
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