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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 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 ,[object Object],To cover the hole at 9.30 O’clk ,[object Object],[object Object]
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’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 tear Everted edge Vitreous attachment Extensive Lattice  with holes
Case 2 Surgery details ,[object Object]
Segmental 5 mm sponge 5.30 to 12.30 clock
No SRF Drainage,[object Object]
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

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Rhegmatogenous retinal detachments

  • 1. Rhegmatogenous Retinal Detachments Scleral Buckling Procedures without Sub-Retinal Fluid Drainage Dr. Anand Sudhalkar, Baroda.
  • 2. 1st Case : History Female 27 yrs, Sudden loss of vision OS, 2 days PL only
  • 3. 1st Case : Clinical Findings High Myope (-17D) BE, Total RD LE, Two large HST, Two Lattice, Round Hole
  • 4. 1st case : 2 Radial and 1 Segmental Buckle No SRF Drainage Schiotz tonometry Paracentesis, mannitol, diamox
  • 5. 2 HSTs After Radial BucklesSRF absorbed after 15 days
  • 6. 1st case : after 2monthsRedetachment, buckle revision The SRf collected 6 to 10 o’clk, pointing to the Location of slipped hole.
  • 7.
  • 8. 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
  • 9. 3rd Case : History Vision : FC lowerhalf. Inferior RD
  • 10. 3rd Case : Clinical Findings RE 6/18 cortical cat. BDR, Attached retina, Tear at 7 O’clkLE FC lower field, cortical cat. BDR, Inf. RD HST at 5.30
  • 11. 3rd case after inferior single radial sponge + Cryo SRF reabsorbed after 6 days
  • 12. 3rd case after 8 months : Attached retina LE Vision with cataract, Diabetic maculopathy, FC 15’
  • 13. 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.
  • 14. Case 2 Retinal drawings RE LE
  • 15. Case 2 Large tear Everted edge Vitreous attachment Extensive Lattice with holes
  • 16.
  • 17. Segmental 5 mm sponge 5.30 to 12.30 clock
  • 18.
  • 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’
  • 22. Case 4 After 1st 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