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Retina & Vitreous Surgery: A Practical Guide to Theory, Practice and Management
by Subhendu Kumar Boral, Suber S HuangThis video demonstrates surgical steps of scleral buckling (nondrainage). Let’s revisit the surgical steps of scleral buckling before discussing the role of MIVS in retinal detachment cases. 360° conjunctival peritomy was done. Tenotomy was performed between the insertion of recti muscles. Muscle hooks were passed underneath the recti muscles. 1’0 silk bridle sutures were passed. Localization of breaks and adequate cryotherapy for the breaks. 6’o ethibond suture with tip spatula needles were passed through sclera over the areas of breaks (Care should be taken not to puncture the globe). Now, 276 Buckle was passed under the knots and recti muscles. Buckle sutures were tied. Now 240 encirclage was passed around the globe to support the vitreous base as well as to have permanent buckle effect. Encirclage was tied over the buckle. Paracentasis was done to normalize the IOP. Peritomy was closed. Central artery pulsation should be noted at the end of surge.
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