Related Experiment Video
Updated: May 22, 2026
05:22
Iris Fixation via External Pentagram Suturing
Published on: May 5, 2022
Scleral buckle extrusion associated with phthisis.
1Department of Ophthalmology, Hebrew University-Hadassah Schools of Medicine and Dental Medicine, P.O. Box 12000, Jerusalem 91120, Israel.
Case Reports in Ophthalmological Medicine
|May 19, 2012
Summary
Exposure of scleral buckles, an uncommon complication of retinal detachment surgery, can occur, especially in eyes with phthisis. Regular eye exams are crucial to monitor the conjunctiva over implants and prevent infection.
Area of Science:
- Ophthalmology
- Retinal Surgery
- Ocular Complications
Background:
- Scleral buckling is a surgical procedure to repair rhegmatogenous retinal detachment.
- Episcleral element exposure is a rare but serious complication.
- Phthisis, a condition of ocular degeneration, can affect eyes post-surgery.
Observation:
- A 40-year-old male presented with chronic foreign body sensation and irritation in his left eye.
- History of bilateral rhegmatogenous retinal detachment treated with scleral buckling.
- Examination revealed phthisis, with an exposed and infected scleral buckle and explant.
Findings:
- The exposed episcleral implant was surgically removed.
- The patient received antibiotic treatment for the infection.
- This case highlights the risk of conjunctival erosion with wide encircling scleral elements in phthisical eyes.
Implications:
- Conjunctival integrity over episcleral implants requires careful monitoring during follow-up examinations.
- Early detection of implant exposure can prevent infection and further complications.
- This underscores the importance of vigilant post-operative care in retinal detachment surgery.
Related Concept Videos
01:25Glaucoma: Overview
Glaucoma is an eye condition characterized by increased intraocular pressure that damages the retina and optic nerve, leading to irreversible blindness if left untreated. The human eye has various components, including the cornea, iris, pupil, lens, and optic nerve. Aqueous humor is secreted by the epithelium of the ciliary body in the posterior chamber and flows through the trabecular meshwork and canal of Schlemm, maintaining normal intraocular pressure. The trabecular meshwork and the canal...
01:23Chronic Obstructive Pulmonary Disease II: Emphysema
Emphysema, a major phenotype of chronic obstructive pulmonary disease (COPD), is characterized by irreversible destruction of alveolar walls and permanent enlargement of distal airspaces. Unlike chronic bronchitis, which primarily affects the airways, emphysema predominantly involves the lung parenchyma, where structural damage leads to airflow limitation.PathophysiologyIt most commonly results from prolonged exposure to cigarette smoke and other toxic gases, particularly cigarette smoke.
01:28Angle Closure Glaucoma: Treatment
Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...