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Preserved scleral patch graft for unexpected extreme scleral thinning found at the scleral buckling procedure: A case report

By Spela Stunf, Xhevat Lumi and Brigita Drnovsek-Olup


Pre-existing scleral pathology is an important risk factor for globe rupture during scleral buckling procedures. We report here, the surgical management of an unexpected scleral pathology found at the scleral buckling procedure in a retinal detachment patient. A 77-year-old white female with retinal detachment underwent a scleral buckling procedure. The surgery was converted into a scleral graft procedure, as extreme scleral thinning was found intraoperatively. An alcohol-preserved donor sclera graft was used. The second surgery for definitive retinal alignment was performed two weeks later. The presented case of an unexpected scleral pathology in a retinal detachment patient was managed with a combination of scleral grafting and pars plana vitrectomy, without any major complications. The anatomical outcome was excellent and the scleral rupture was prevented; the visual outcome was satisfactory. A conversion of the scleral buckling procedure into a scleral graft procedure has proved to be safe and effective for unexpected scleral pathology

Topics: Ahmed glaucoma valve, hypotony, post-penetrating-keratoplasty glaucoma, tube extrusion, scleral patch, Ranibizumab, bevacizumab, choroidal neovascular membrane, age-related macular degeneration, intravitreal injection, central macular thickness, best corrected visual acuity, Intravitreal injection, methotrexate, pharmacokinetics, Contrast sensitivity, diabetes, glare, pupil cycle time, Anemia, diabetic retinopathy, microalbuminuria, severity, Objective Structured Clinical Examination, ophthalmology, undergraduate, Anisometropia, anisometropic amblyopia, fusion, stereopsis, Traumatic cataract, Birmingham Eye Trauma Terminology System, India, cataract surgery, Children with learning disability, ocular disorders, refractive errors, special needs, Charles Bonnet syndrome, dementia, hallucinations, pregabalin, Ocular surface reconstruction, Steven-Johnson syndrome, superficial keratectomy, Choroidal melanoma, hard exudates, lipid exudation, Donor sclera, globe rupture, scleral patch graft, Ophthalmology, RE1-994
Publisher: Wolters Kluwer Medknow Publications
Year: 2011
DOI identifier: 10.4103/0301-4738.81045
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