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Silicone sponge intrusion after scleral buckling surgery followed by vitrectomy for retinal detachment
Affiliations- Medical Center Julianow, Lodz, Poland
- Miejskie Centrum Medyczne Jonscher, Lodz, Poland
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Abstract
Background: This study reports a case of silicone sponge intrusion as a late complication of scleral buckling surgery.
Case presentation: A 57-year-old man underwent a silicone sponge scleral buckling surgery 19 years ago due to retinal detachment of his left eye. Visual acuity impairment of his left eye was noted. His best-corrected visual acuity (BCVA) was 20/80 (logMAR 0.6). Intraocular lens-capsular bag-capsular tension ring luxation with implant extrusion was observed in the inferior nasal quadrant. The patient underwent pars plana vitrectomy with retropupillary iris-claw lens implantation. His BCVA improved to 20/20.
Conclusion: Although silicone sponge intrusion is a rare complication of scleral buckling procedures, it may lead to serious complications. The intruding sponge may be left intact unless there is a significant threat to the integrity of ocular structures. Manipulation of the encircling band or buckle does not necessarily alter the visual acuity or the status of the retina.
Abstract
Background: This study reports a case of silicone sponge intrusion as a late complication of scleral buckling surgery.
Case presentation: A 57-year-old man underwent a silicone sponge scleral buckling surgery 19 years ago due to retinal detachment of his left eye. Visual acuity impairment of his left eye was noted. His best-corrected visual acuity (BCVA) was 20/80 (logMAR 0.6). Intraocular lens-capsular bag-capsular tension ring luxation with implant extrusion was observed in the inferior nasal quadrant. The patient underwent pars plana vitrectomy with retropupillary iris-claw lens implantation. His BCVA improved to 20/20.
Conclusion: Although silicone sponge intrusion is a rare complication of scleral buckling procedures, it may lead to serious complications. The intruding sponge may be left intact unless there is a significant threat to the integrity of ocular structures. Manipulation of the encircling band or buckle does not necessarily alter the visual acuity or the status of the retina.
Keywords
intrusion; retinal detachment; scleral sponge intrusion; scleral buckling; vitrectomy
About this articleTitle
Silicone sponge intrusion after scleral buckling surgery followed by vitrectomy for retinal detachment
Journal
Issue
Vol 7 (2022): Continuous Publishing
Article type
Case report
Pages
208-210
Published online
2022-11-10
Page views
3525
Article views/downloads
296
DOI
Bibliographic record
Ophthalmol J 2022;7:208-210.
Keywords
intrusion
retinal detachment
scleral sponge intrusion
scleral buckling
vitrectomy
Authors
Sławomir Cisiecki
Karolina Bonińska
Piotr Marks
Sławomir Lis
Maciej Bednarski
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