Rhegmatogenous retinal detachments

Rhegmatogenous Retinal Detachments

Scleral Buckling Procedures without Sub-Retinal Fluid

Drainage

Dr. Anand Sudhalkar, Baroda.

1st Case : History

• Female 27 yrs,

• Sudden loss of vision OS, 2 days

• PL only

1st Case : Clinical Findings

High Myope (-17D) BE, Total RD LE, Two large HST, Two Lattice, Round Hole

1st case : 2 Radial and 1 Segmental Buckle No SRF Drainage Schiotz tonometry Paracentesis, mannitol, diamox

2 HSTs After Radial BucklesSRF absorbed after 15 days

1st case : after 2monthsRedetachment, buckle revision

The SRf collected 6 to 10 o’clk, pointing to the Location of slipped hole.

After Segmental Buckle revision

•The segmental buckle shifted posteriorlyTo cover the hole at 9.30 O’clk• SRF reabsorbed in 24 hours.

1st Case : After 11 monthsMyopic changes at macula,Vision : FC 10 feet

3rd Case : History

• 65 Yr old Female,

• IDDM 17 years

• Some dimness LE in Oct 03, consultation elsewhere

• Diagnosed as DR and advised better control.

• Severe loss in Jan 04. Diag. PDR Gliosis

• Ref. to us for PDR laser treatment by her Physician In April 2004

3rd Case : History

• Vision : FC lowerhalf.

• Inferior RD

3rd Case : Clinical FindingsRE 6/18 cortical cat. BDR, Attached retina, Tear at 7 O’clkLE FC lower field, cortical cat. BDR, Inf. RD HST at 5.30

3rd case after inferior single radial sponge + Cryo

SRF reabsorbed after 6 days

3rd case after 8 months : Attached retina

LE Vision with cataract, Diabetic maculopathy, FC 15’

Case 2

• 19 Yr Female moderate Myope

• Sudden loss of vision RE noticed accidentally

• RE Counting fingers at 1’ temporally.

• LE 6/9 with -4.0Dsph.

Case 2 Retinal drawings

RE LE

Case 2

Large tearEverted edgeVitreous attachment

Extensive Lattice with holes

Case 2 Surgery details

•Cryopexy surrounding large hole and lattices•Segmental 5 mm sponge 5.30 to 12.30 clock•No SRF Drainage

Case 2 Post buckle follow up

Case 2 The other eye prophylaxis

Case 4

• Male Age: 60 years

• Pseudophakia RE 2 years

• Dimness 4 days

• Vision : Lower temp FC 1’

Case 4

Case 4 After 1st buckle

SRF absorbed in 3 daysMacula on

Case 4 : After 15days

• SRF reappears

Case 4 : After segmental buckle

SRF reabsorbed in 2 days

Gratitude to Dr. Kreissig and Tubingen Group

Salute to my TEACHER

Thank you SIR

79 Year Male Psuedoph. Upper Temp HST

30 Yr Male, 15 month old Trauma Inferior HST