Scleral buckling dislocation mimicking glaucoma progression.

Abstract:

UNLABELLED:PURPOSE. To report a case of scleral dislocation mimicking glaucoma progression. METHODS:Interventional case report. RESULTS:A 71-year-old man was referred for glaucoma surgery in his right eye because of perimetry defect progression and uncontrolled intraocular pressure despite maximal medical therapy. A scleral buckling procedure in his right eye was previously performed for rhegmatogenous retinal detachment. At the time of presentation, a visible protruded sponge buckle element was noted at ocular inspection, without any sign of infection. The buckle element was posteriorly in contact with the optic nerve and anteriorly protruding under intact conjunctiva. We eventually managed for its removal via upper eyelid orbitotomy. Visual field lesions were unchanged on every follow-up visit. CONCLUSIONS:This case report describes severe permanent optic nerve damage due to previous misdiagnosis of a rare complication of scleral buckling surgery. Our surgical solution appears to be a safe and successful approach for this ocular disorder, also able to stabilize visual function and interrupt disease progression.

journal_name

Eur J Ophthalmol

authors

Codenotti M,Iuliano L,Fogliato G,De Benedetto U,Bandello F

doi

10.5301/ejo.5000165

subject

Has Abstract

pub_date

2013-03-01 00:00:00

pages

271-4

issue

2

eissn

1120-6721

issn

1724-6016

pii

721F882D-BCC2-4E67-8847-B6B10B0E0B6E

journal_volume

23

pub_type

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