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