TY - JOUR
T1 - Scleral buckling dislocation mimicking glaucoma progression
AU - Codenotti, Marco
AU - Iuliano, Lorenzo
AU - Fogliato, Giovanni
AU - de Benedetto, Umberto
AU - Bandello, Francesco
PY - 2013
Y1 - 2013
N2 - 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.
AB - 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.
KW - Glaucoma
KW - Optic nerve compression
KW - Scleral buckling dislocation
KW - Scleral buckling removal
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U2 - 10.5301/ejo.5000165
DO - 10.5301/ejo.5000165
M3 - Article
C2 - 23161180
AN - SCOPUS:84874156274
VL - 23
SP - 271
EP - 274
JO - European Journal of Ophthalmology
JF - European Journal of Ophthalmology
SN - 1120-6721
IS - 2
ER -