Heavy eye syndrome in a myopic patient with prior scleral buckle surgery for rhegmatogenous retinal detachment: Differential diagnosis and management

PURPOSE: To present a challenging case of heavy eye syndrome (HES) in a 56-year-old female who previously underwent scleral buckle surgery in both eyes. OBSERVATIONS: Ophthalmic tests indicated a diagnosis of HES, confirmed using pre and postoperative magnetic resonance imaging (MRI). A silicone ban...

Descripción completa

Detalles Bibliográficos
Autores principales: Alarfaj, Motazz, Al-Owaid, Abdullah, Alkhaldi, Hamdah, Elkhamary, Sahar, Sesma, Gorka
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8858879/
https://www.ncbi.nlm.nih.gov/pubmed/35243158
http://dx.doi.org/10.1016/j.ajoc.2022.101418
Descripción
Sumario:PURPOSE: To present a challenging case of heavy eye syndrome (HES) in a 56-year-old female who previously underwent scleral buckle surgery in both eyes. OBSERVATIONS: Ophthalmic tests indicated a diagnosis of HES, confirmed using pre and postoperative magnetic resonance imaging (MRI). A silicone band loop myopexy was performed, successfully improving large angle esotropia at primary position and motility. CONCLUSIONS AND IMPORTANCE: MRI is essential to correctly identify HES, allowing a tailored surgical intervention that may lead to better outcomes for patients. Up to our knowledge, this is the first reported case of scleral fixated silicone band loop myopexy for HES in a previously scleral buckled patient.

Ejemplares similares