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