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January 1966


Author Affiliations

AMU Institute of Ophthalmology Gandhi Eye Hospital Aligarh (U.P.), India

Arch Ophthalmol. 1966;75(1):151-152. doi:10.1001/archopht.1966.00970050153028

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To the Editor:  In reference to Jarrett and Brockhurst, "Unexplained Blindness and Optic Atrophy Following Retinal Detachment Surgery," Arch Ophthal73: 782-791, 1965, I wish to add one of my cases to this series.The patient was a 60-year-old man with a mild degree of hypertension which was controlled before operation. Scleral buckling with encircling polyethylene tube was performed under general anesthesia, consisting of intravenous sodium pentothal maintained by nitrous oxide and oxygen through an intratracheal tube. The preoperative fundus picture and the surgical procedure adopted is shown in the accompanying diagram. Strepto-penicillin solution was employed for irrigation after closing the buckling sutures. Recovery was generally uneventful.On the fourth postoperative day a rough assessment of the visual acuity showed that the patient could not count fingers even at close range. Fundus examination revealed a mild degree of uniform vitreous haze, the retina was settled all around, and a prominent

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