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Preserved scleral patch graft for unexpected extreme scleral thinning found at the scleral buckling procedure: A case report
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...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications
2011
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3118011/ https://www.ncbi.nlm.nih.gov/pubmed/21586849 http://dx.doi.org/10.4103/0301-4738.81045 |
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author | Stunf, Spela Lumi, Xhevat Drnovšek-Olup, Brigita |
author_facet | Stunf, Spela Lumi, Xhevat Drnovšek-Olup, Brigita |
author_sort | Stunf, Spela |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-3118011 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2011 |
publisher | Medknow Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-31180112011-06-28 Preserved scleral patch graft for unexpected extreme scleral thinning found at the scleral buckling procedure: A case report Stunf, Spela Lumi, Xhevat Drnovšek-Olup, Brigita Indian J Ophthalmol Brief Communications 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. Medknow Publications 2011 /pmc/articles/PMC3118011/ /pubmed/21586849 http://dx.doi.org/10.4103/0301-4738.81045 Text en Copyright: © Indian Journal of Ophthalmology http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Brief Communications Stunf, Spela Lumi, Xhevat Drnovšek-Olup, Brigita Preserved scleral patch graft for unexpected extreme scleral thinning found at the scleral buckling procedure: A case report |
title | Preserved scleral patch graft for unexpected extreme scleral thinning found at the scleral buckling procedure: A case report |
title_full | Preserved scleral patch graft for unexpected extreme scleral thinning found at the scleral buckling procedure: A case report |
title_fullStr | Preserved scleral patch graft for unexpected extreme scleral thinning found at the scleral buckling procedure: A case report |
title_full_unstemmed | Preserved scleral patch graft for unexpected extreme scleral thinning found at the scleral buckling procedure: A case report |
title_short | Preserved scleral patch graft for unexpected extreme scleral thinning found at the scleral buckling procedure: A case report |
title_sort | preserved scleral patch graft for unexpected extreme scleral thinning found at the scleral buckling procedure: a case report |
topic | Brief Communications |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3118011/ https://www.ncbi.nlm.nih.gov/pubmed/21586849 http://dx.doi.org/10.4103/0301-4738.81045 |
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