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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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