This 50 year old man had 4 days of vision loss. He had a total retinal detachment with multiple retinal breaks and lattice degeneration. He is a -12.00 high myope with a dense cataract. The surgery shows retinal detachment repair with a scleral buckle (42 band and 70 sleeve) and a vitrectomy (23 gauge). Laser is used at the time of surgery and 25 percent sulfer hexafluoride gas is used as endotamponade. The surgery is done under general anesthesia. Marcaine (a long acting anesthetic) was irrigated around the eye for post-operative pain. The Marcaine lasts about 8 hours. Subsequently the patient had moderate pain for about 2 days that was controlled with non-prescription pain medicines. After retinal detachment surgery, the patient positioned for a week, initially face down and then side to side.
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