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

Stunf S, Lumi X, Drnovšek-Olup B - Indian J Ophthalmol (2011 May-Jun)

Bottom Line: The surgery was converted into a scleral graft procedure, as extreme scleral thinning was found intraoperatively.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.

View Article: PubMed Central - PubMed

Affiliation: University Eye Hospital, University Clinical Center Ljubljana, Slovenia, Europe. spela.stunf@siol.net

ABSTRACT
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.

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Related in: MedlinePlus

The fundus photography of the right eye at the three-month follow-up showing the silicon oil reflexes and fully attached retina at the posterior pole
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Figure 5: The fundus photography of the right eye at the three-month follow-up showing the silicon oil reflexes and fully attached retina at the posterior pole

Mentions: At the three-month follow-up, BCVA of the right eye was 20/100 (+ 4.50 spheres). Intraocular pressure was 12 mmHg. The globe was of normal shape and the scleral patch was visualized under the conjunctiva in the upper quadrants [Fig. 2b]. The retina remained fully attached [Fig. 3]. The patient was scheduled for silicone oil removal.


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

Stunf S, Lumi X, Drnovšek-Olup B - Indian J Ophthalmol (2011 May-Jun)

The fundus photography of the right eye at the three-month follow-up showing the silicon oil reflexes and fully attached retina at the posterior pole
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3118011&req=5

Figure 5: The fundus photography of the right eye at the three-month follow-up showing the silicon oil reflexes and fully attached retina at the posterior pole
Mentions: At the three-month follow-up, BCVA of the right eye was 20/100 (+ 4.50 spheres). Intraocular pressure was 12 mmHg. The globe was of normal shape and the scleral patch was visualized under the conjunctiva in the upper quadrants [Fig. 2b]. The retina remained fully attached [Fig. 3]. The patient was scheduled for silicone oil removal.

Bottom Line: The surgery was converted into a scleral graft procedure, as extreme scleral thinning was found intraoperatively.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.

View Article: PubMed Central - PubMed

Affiliation: University Eye Hospital, University Clinical Center Ljubljana, Slovenia, Europe. spela.stunf@siol.net

ABSTRACT
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.

Show MeSH
Related in: MedlinePlus