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Arterial occlusion after scleral buckling
  1. Sher A Aslam1,
  2. Yashin D Ramkissoon1,
  3. Naser Ali1,
  4. Robert E MacLaren1,2,3
  1. 1Moorfields Eye Hospital, London, UK
  2. 2UCL Institute of Ophthalmology, London, UK
  3. 3NIHR Ophthalmology Biomedical Research Centre, Moorfields Eye Hospital, London, UK
  1. Correspondence to Mr Sher A Aslam, Moorfields Eye Hospital, 162 City Road, London EC1V 2PD, UK; sheraslam2{at}yahoo.com

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Case report

A 22-year-old Pakistani man presented with 1 week of reduced vision in the left eye. Visual acuities were 6/5 right and 6/18 left. Examination revealed bilateral inferotemporal retinal dialyses, with a left macula off retinal detachment. Simultaneous bilateral scleral buckling surgery was discussed, and it was decided to repair the left eye first and defer the right until a later date. Left retinal cryotherapy and scleral buckling were performed under general anaesthesia, with systemic blood pressure maintained at 90/40 mm Hg throughout. To minimise the risk of choroidal haemorrhage during external needle …

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