Korean J Ophthalmol.  1999 Jun;13(1):49-51. 10.3341/kjo.1999.13.1.49.

Scleral perforation after scleral buckling surgery for retinopathy of prematurity

• Yu YS
• Chang BL

• KMID: 1081836
• DOI: http://doi.org/10.3341/kjo.1999.13.1.49

Abstract

Scleral perforation occurred as a result of using a silicone band during scleral buckling surgery for subtotal retinal detachment in retinopathy of prematurity (ROP). The patient was initially treated by cryotherapy and scleral buckling surgery for ROP, and was later referred due to a dark bluish mass in the superotemporal quadrant of the eyeball. After removing the overlying whitish membrane, uveal tissue prolapsed through the melted scleral wound (5 mm x 5 mm). A silicone encircling band had passed through the wound and was exposed subconjunctivally around the temporal and the inferior limbus. The band was removed and a scleral allograft was performed. After three years, follow up revealed the eyeball was slightly microphthalmic. Though scleral bucking surgery is helpful for the treatment of advanced ROP, a scleral perforation may develop as a disastrous complication.

Keyword

Retinopathy of prematurity; Scleral buckling surgery; Scleral perforation

MeSH Terms

Case Report
Female
Human
Infant, Newborn
Postoperative Complications/surgery
Postoperative Complications/etiology*
Postoperative Complications/diagnosis
Reoperation
Retinopathy of Prematurity/surgery*
Rupture
Sclera/transplantation
Sclera/injuries*
Scleral Buckling/adverse effects*