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Filipe Lima Cabrita, MD, FEBO
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Filipe Lima Cabrita, MD, FEBO, presents a technique for temporary scleral buckling using a Foley silicone catheter. He says this technique is invaluable for addressing single-tear retinal detachments at all clock hours near the equator. In the video, he demonstrates precise tear localization using an indirect ophthalmoscope and limbal clock hour marking with a dermographic pen. This is followed by Foley catheter insertion 4mm from the limbus under subconjunctival anesthesia. Catheter inflation with balanced salt solution and proper positioning are ensured before notching, shaft trimming, and securing the catheter to the sclera with a 6-0 Ethibond suture, and conjunctival suturing with 7-0 Vicryl. Complete subretinal fluid reabsorption and retina reattachment are achieved by the following day. Argon laser treatment around the tear is administered on the first postoperative day, and the catheter can be deflated and easily removed after 2 weeks.
Posted: 5/20/2024
Filipe Lima Cabrita, MD, FEBO
Filipe Lima Cabrita, MD, FEBO, presents a technique for temporary scleral buckling using a Foley silicone catheter. He says this technique is invaluable for addressing single-tear retinal detachments at all clock hours near the equator. In the video, he demonstrates precise tear localization using an indirect ophthalmoscope and limbal clock hour marking with a dermographic pen. This is followed by Foley catheter insertion 4mm from the limbus under subconjunctival anesthesia. Catheter inflation with balanced salt solution and proper positioning are ensured before notching, shaft trimming, and securing the catheter to the sclera with a 6-0 Ethibond suture, and conjunctival suturing with 7-0 Vicryl. Complete subretinal fluid reabsorption and retina reattachment are achieved by the following day. Argon laser treatment around the tear is administered on the first postoperative day, and the catheter can be deflated and easily removed after 2 weeks.
Posted: 5/20/2024
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