Hypotony caused by scleral buckle erosion in Marfan syndrome.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 11530070.
- No licence information is recorded for this record.
- Because redistribution is not established, this page shows the abstract only. Follow the links below for the full text.
Abstract
To describe hypotony caused by erosion of the conjunctiva and sclera by a silicone scleral buckle. Interventional case report. A 33-year-old man with Marfan syndrome presented with hypotony maculopathy and a collapsed globe 17 months after repair of retinal detachment with a silicone sponge and silicone encircling band. Examination in the operating room revealed extrusion of the buckle through the conjunctiva and full-thickness scleral erosion. The silicone buckle was removed, and the scleral defect was closed with interrupted 8-0 nylon sutures. Postoperative glaucoma was treated with cyclophotocoagulation. Eight months after scleral repair, visual acuity was RE: 20/40, intraocular pressure was 10 mm Hg, and the retina was attached. Full-thickness scleral erosion secondary to a silicone exoplant causing hypotony is a rare long-term complication in patients with thin sclera.
Medical subject headings
- Foreign-Body Migration
- Marfan Syndrome
- Ocular Hypotension
- Scleral Buckling