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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 BuckleNo SRF Drainage
Schiotz tonometryParacentesis, 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 posteriorly
To 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 Findings
RE 6/18 cortical cat. BDR, Attached retina, Tear at 7 O’clk
LE 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 tear
Everted edge
Vitreous 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 days
Macula 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