This document summarizes three retinal detachment surgery cases performed by Dr. Anand Sudhalkar. Case 1 involved a 66 year old male with progressive vision loss who underwent cryocoagulation and placement of radial buckles, resulting in improved vision. Case 2 was a 67 year old male with sudden vision loss in one eye who received cryocoagulation and circumferential and radial buckles, with good post-operative vision. Case 3 was a 27 year old female with sudden vision loss, who required segmental and radial buckles along with drainage and resurgery for redetachment, with the retina ultimately reattaching.

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Teaching course 2008 at retina
Foundation Ahmedabad by
Prof. Ingrid Kreissig
Presentation by
Dr. Anand Sudhalkar

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Patient: 1 male:JD Age: 66 years old
Complaints: progressive visual loss over last 2 weeks.
No photopsia
History: No H/O trauma
Preop. Findings:R: FC temp VA L: 6/18 -4.0Dsph
Nuclear cataracts BE

 Fellow eye
 Detachment with no
break
 Detachment
with 1 break
 Detachment with 2
or several breaks
Lattice
Tears

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Postop. Findings:
Case 1. JD Operation Dr.: Anand Sudhalkar
Cryocoagulation around breaks
11.00 o'clk 5x 3mm radial buckle
4.30o' clk 5 x 3mm radial Buckle
1 month postop. VA
RE FC 10' Cat+++
LE -4.0 6/18 Cat++
Treatment /
Operations:

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Compare with
preop clinical
pictures
Case 1. JD
Radial Sponge

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Case 1. JD Post OP
12. month postop. VA
R -1.0 -2.0 110* = 6/18 (IOL)
. L -4.0 = 6/12 (Phakic)

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Case: 2. Dr. Anand Sudhalkar
Patient: male : J.D. Age: 67 years
Complaints: Sudden loss LE 4 days
History: LE psuedophakia 5 months, RE RD 1 year ago
Preop. Findings:
R 6/18 with -3.0Dsph (IOL)
VA
L HM
Detachme
nt with no
break
Detachment
with 2 or
several
breaks
Fellow Eye
Detachment with
one break

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2. Preop
pictures LE

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case: 2 LE Dr.: Anand Sudhalkar
Treatment / Operations:
cryocoagulation—8.30 to 10.30 hrs.
5x7 mm circumferential silicone
buckle
— 3 MERSILENE 5/0 mattress
sutures
At 1.15hrs. clk 5x4mm radial
silicone buckle held by 1 5/0
mersiline mattress suture
R -2.0 -1.0 90*=
6/18
1 month postop. VA
L -3.0=6/24

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Case 2. 2 months post op
2 months post op
RE -2.0 -1.0 90*=6/18
LE -2.0 -1.0 180*= 6/18
Segmental Buckle

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Case 2 LE 4 months post op

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Case 3 Dr.: Anand Sudhalkar
Patient: female Mrs. Jyotsna R. Dave Age: 27
Complaints: Sudden Loss of vision LE 2 days
History: High Myope BE
Preop. Findings: R -17.0 D 6/24VAL Light perception
Detachment
with no
break
Detachment
with 1 break
Detachment
with 2 or
several
breaks
Fellow eye

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Case 3: Pre op Retina Pictures

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Segmental 5x7 mm sponge 7 to 10.30
clk hrs
Radial 5x4mm sponges at 2.30 and 5.30
clk hrs.
No SRF Drainage, High IOP
Schiotz
tonometry
Paracentesis,
mannitol, diamox
Retina settled after 20 days

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LE
Attached
Retina RE
Post op Pictures
Case 3 RE
Inf Radial Buckle
Superior Radial
Buckle

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Case 3: Redetachment 2months post op
SRF at Macula
The SRF collected 6 to 10 o’clk, pointing to the
Location of slipped hole.

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Case 3: Buckle revision
The segmental buckle shifted posteriorly,
additional cryo done, No SRF drainage
SRF
Inf Radial buckle

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Retina attached after resurgery
Pre op
Post OP