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To remove the buckle or watch?

Kunal K Shah1, Ekta Rishi1, Pramod Bhende1

  • 1Shri Bhagwan Mahavir Vitreoretina Services, Medical Research Foundation, Sankara Nethralaya, Chennai, India.

Indian Journal of Ophthalmology
|May 25, 2019
PubMed
Summary
This summary is machine-generated.

Scleral buckling surgery for retinal detachment can lead to rare complications. This case report details a scleral buckle migrating posteriorly to the optic nerve, a previously undocumented event.

Keywords:
Buckle migrationretinopathy of prematurityscleral buckle

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Area of Science:

  • Ophthalmology
  • Surgical Complications
  • Retinal Detachment Treatment

Background:

  • Scleral buckling is a primary surgical treatment for rhegmatogenous retinal detachment.
  • It is also used in specific cases of retinopathy of prematurity.
  • While generally safe, potential morbidities exist.

Observation:

  • This report highlights an unusual complication of scleral buckling.
  • The scleral buckle implant was observed to migrate posteriorly.
  • The migration extended significantly, reaching the optic nerve.

Findings:

  • Posterior migration of a scleral buckle to the optic nerve is a rare event.
  • This migration represents a novel complication of the scleral buckling procedure.
  • The exact mechanism and clinical significance require further investigation.

Implications:

  • This case underscores the importance of vigilant post-operative monitoring after scleral buckling.
  • Understanding such migration patterns can inform surgical technique and implant selection.
  • Further research is needed to elucidate the risk factors and management of buckle migration.