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Sudhalkar Eye Hospital and Retinal Laser
Centre, Baroda 1
Teaching course 2008 by
Prof. Ingrid Kreissig
Dr. Anand Sudhalkar
Sudhalkar Eye Hospital and Retinal Laser
Centre, Baroda 2
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
Sudhalkar Eye Hospital and Retinal Laser
Centre, Baroda 3
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:
Sudhalkar Eye Hospital and Retinal Laser
Centre, Baroda 4
Compare with
preop clinical
pictures
Case 1. JD
Radial Sponge
Sudhalkar Eye Hospital and Retinal Laser
Centre, Baroda 5
Case 1. JD Post OP
12. month postop. VA
R -1.0 -2.0 110* = 6/18 (IOL)
. L -4.0 = 6/12 (Phakic)
Sudhalkar Eye Hospital and Retinal Laser
Centre, Baroda 6
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
Sudhalkar Eye Hospital and Retinal Laser
Centre, Baroda 7
2. Preop
pictures LE
Sudhalkar Eye Hospital and Retinal Laser
Centre, Baroda 8
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 sutureR -2.0 -1.0 90*=
6/18
1 month postop. VA
L -3.0=6/24
Sudhalkar Eye Hospital and Retinal Laser
Centre, Baroda 9
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
Sudhalkar Eye Hospital and Retinal Laser
Centre, Baroda 10
Case 2 LE 4 months post op
Sudhalkar Eye Hospital and Retinal Laser
Centre, Baroda 11
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
Sudhalkar Eye Hospital and Retinal Laser
Centre, Baroda 12
Case 3: Pre op Retina Pictures
Sudhalkar Eye Hospital and Retinal Laser
Centre, Baroda 13
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
Sudhalkar Eye Hospital and Retinal Laser
Centre, Baroda 14
LE
Attached
Retina RE
Post op Pictures
Case 3 RE
Inf Radial Buckle
Superior Radial
Buckle
Sudhalkar Eye Hospital and Retinal Laser
Centre, Baroda 15
Case 3: Redetachment 2months post op
SRF at Macula
The SRF collected 6 to 10 o’clk, pointing to the
Location of slipped hole.
Sudhalkar Eye Hospital and Retinal Laser
Centre, Baroda 16
Case 3: Buckle revisionThe segmental buckle shifted posteriorly,
additional cryo done, No SRF drainage
SRF
Inf Radial buckle
Sudhalkar Eye Hospital and Retinal Laser
Centre, Baroda 17
Retina attached after resurgery
Pre op
Post OP