The document summarizes several cases of rhegmatogenous retinal detachments treated with scleral buckling procedures. It describes the history, clinical findings, surgical procedures, and outcomes for 4 cases. The procedures involved placement of radial or segmental scleral buckles without drainage of subretinal fluid in most cases. The subretinal fluid was typically reabsorbed within a few days following the buckling procedures and the retinas remained attached in the follow up periods ranging from months to years.

1. Rhegmatogenous Retinal Detachments Scleral Buckling Procedures without Sub-Retinal Fluid Drainage Dr. Anand Sudhalkar, Baroda.

2. 1 st Case : History Female 27 yrs, Sudden loss of vision OS, 2 days PL only

3. 1 st Case : Clinical Findings High Myope (-17D) BE, Total RD LE, Two large HST, Two Lattice, Round Hole

4. 1 st case : 2 Radial and 1 Segmental Buckle No SRF Drainage Schiotz tonometry Paracentesis, mannitol, diamox

5. 2 HSTs After Radial Buckles SRF absorbed after 15 days

6. 1 st case : after 2months Redetachment, buckle revision The SRf collected 6 to 10 o’clk, pointing to the Location of slipped hole.

7. After Segmental Buckle revision The segmental buckle shifted posteriorly To cover the hole at 9.30 O’clk SRF reabsorbed in 24 hours.

8. 1 st Case : After 11 months Myopic changes at macula, Vision : FC 10 feet

9. 3 rd 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

10. 3 rd Case : History Vision : FC lowerhalf. Inferior RD

11. 3 rd 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

12. 3 rd case after inferior single radial sponge + Cryo SRF reabsorbed after 6 days

13. 3 rd case after 8 months : Attached retina LE Vision with cataract, Diabetic maculopathy, FC 15’

14. 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.

15. Case 2 Retinal drawings RE LE

16. Case 2 Large tear Everted edge Vitreous attachment Extensive Lattice with holes

17. Case 2 Surgery details Cryopexy surrounding large hole and lattices Segmental 5 mm sponge 5.30 to 12.30 clock No SRF Drainage

18. Case 2 Post buckle follow up

19. Case 2 The other eye prophylaxis

20. Case 4 Male Age: 60 years Pseudophakia RE 2 years Dimness 4 days Vision : Lower temp FC 1’

21. Case 4

22. Case 4 After 1 st buckle SRF absorbed in 3 days Macula on

23. Case 4 : After 15days SRF reappears

24. Case 4 : After segmental buckle SRF reabsorbed in 2 days

25. Gratitude to Dr. Kreissig and Tubingen Group

26. Salute to my TEACHER Thank you SIR

27. 79 Year Male Psuedoph. Upper Temp HST

28. 30 Yr Male, 15 month old Trauma Inferior HST