Scleral Perforation by Titanium Orbital Mesh Implant: Case Report and Literature Review

A 70-year-old man presented with diplopia, floaters, and restrictive ocular motility 5 months after orbital floor reconstruction using a titanium mesh implant for fibrous dysplasia. Orbital imaging revealed posterosuperior migration of the implant, with impingement on the globe and suspected full-thickness scleral penetration. Intraoperative findings confirmed mesh erosion through the inferonasal sclera. The implant was removed, the scleral defect was sutured, and a concurrent retinal tear was treated with laser retinopexy. Postoperatively, the patient's symptoms resolved, and visual function was preserved. This case report highlights a rare but vision-threatening complication of early intraocular erosion associated with titanium orbital implants.