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BRIEF COMMUNICATION
Year : 2011  |  Volume : 59  |  Issue : 3  |  Page : 235-238

Preserved scleral patch graft for unexpected extreme scleral thinning found at the scleral buckling procedure: A case report


University Eye Hospital, University Clinical Center Ljubljana, Slovenia, Europe

Correspondence Address:
Spela Stunf
University Eye Hospital, University Clinical Center Ljubljana, Grabloviceva 46, 1000 Ljubljana, Slovenia, Europe

Spela Stunf
University Eye Hospital, University Clinical Center Ljubljana, Grabloviceva 46, 1000 Ljubljana, Slovenia, Europe

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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0301-4738.81045

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Pre-existing scleral pathology is an important risk factor for globe rupture during scleral buckling procedures. We report here, the surgical management of an unexpected scleral pathology found at the scleral buckling procedure in a retinal detachment patient. A 77-year-old white female with retinal detachment underwent a scleral buckling procedure. The surgery was converted into a scleral graft procedure, as extreme scleral thinning was found intraoperatively. An alcohol-preserved donor sclera graft was used. The second surgery for definitive retinal alignment was performed two weeks later. The presented case of an unexpected scleral pathology in a retinal detachment patient was managed with a combination of scleral grafting and pars plana vitrectomy, without any major complications. The anatomical outcome was excellent and the scleral rupture was prevented; the visual outcome was satisfactory. A conversion of the scleral buckling procedure into a scleral graft procedure has proved to be safe and effective for unexpected scleral pathology.


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