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Primary Retinal Detachment

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108<br />

a<br />

b<br />

6 Minimal Segmental Buckling With Sponge(s)<br />

Fig. 6.7. Three breaks in three-quadrant detachment.a In this detachment,<br />

the three breaks are 2 1 / 2 to 3 clock hours apart. b The three breaks were<br />

treated with cryopexy and tamponaded by three radial sponge cylinders<br />

without drainage. The retina attached. The retina remained attached during<br />

a 14-year follow-up period. (Four radial sponges may imply the limits<br />

of radial buckles; instead, a segmental circumferential or a combination of<br />

both be preferred)

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