Scleral buckle surgery

Case contributed by Ammar Haouimi
Diagnosis certain

Presentation

Poor vision. History of surgery of the right eye a few years ago.

Patient Data

Age: 70 years
Gender: Female
ct

Atrophied optic nerves mainly on the right.

Hyperdense ring encircling the right ocular globe (previous history of scleral buckle surgery).

Normal appearance of the left ocular globe.

Empty sella is noted.

Calcified subcutaneous nodule at the left frontal region (foreign body or calcified cyst ?).

Case Discussion

Scleral buckles are devices (often made from silicon) implanted into the eye for the treatment of retinal detachment. They are performed to relieve vitreous traction which closes the defects in the retina and reduces the recurrent detachment. They are usually permanent and removed only if there is a complication such as a device infection or extrusion.

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