text: SCLERAL BUCKLE OPENING,The patient was brought to the operating room and appropriately identified.  General anesthesia was induced by the anesthesiologist.  The patient was prepped and draped in the usual sterile fashion.  A lid speculum was used to provide exposure to the right eye.  A 360-degree limbal conjunctival peritomy was created with Westcott scissors.  Curved tenotomy scissors were used to enter each of the intermuscular quadrants.  The inferior rectus muscle was isolated with a muscle hook, freed of its Tenon's attachment and tied with a 2-0 silk suture.  The 3 other rectus muscles were isolated in a similar fashion.  The 4 scleral quadrants were inspected and found to be free of scleral thinning or staphyloma.surgery, tenotomy, scleral quadrants, scleral thinning, scleral buckle, staphylomaNOTE,: Thesetranscribed medical transcription sample reports and examples are provided by various users andare for reference purpose only. MTHelpLine does not certify accuracy and quality of sample reports.These transcribed medical transcription sample reports may include some uncommon or unusual formats;this would be due to the preference of the dictating physician. All names and dates have beenchanged (or removed) to keep confidentiality. Any resemblance of any type of name or date orplace or anything else to real world is purely incidental.,