Scleral perforation after scleral buckling surgery for retinopathy of  prematurity.

Yu,  Y S; Chang,  B L

doi:1999.13.1.49

Korean J Ophthalmol > Volume 13(1); 1999 > Article

Case Report

Korean Journal of Ophthalmology 1999;13(1):49-51.
DOI: https://doi.org/10.3341/kjo.1999.13.1.49 Published online June 30, 1999.

Scleral perforation after scleral buckling surgery for retinopathy of prematurity.

Y S Yu, B L Chang

Department of Ophthalmology, Seoul National University Children's Hospital, Korea.

Abstract

Scleral perforation occurred as a result of using a silicone band during scleral buckling surgery for subtotal retinal detachment in retinopathy of prematurity (ROP). The patient was initially treated by cryotherapy and scleral buckling surgery for ROP, and was later referred due to a dark bluish mass in the superotemporal quadrant of the eyeball. After removing the overlying whitish membrane, uveal tissue prolapsed through the melted scleral wound (5 mm x 5 mm). A silicone encircling band had passed through the wound and was exposed subconjunctivally around the temporal and the inferior limbus. The band was removed and a scleral allograft was performed. After three years, follow up revealed the eyeball was slightly microphthalmic. Though scleral bucking surgery is helpful for the treatment of advanced ROP, a scleral perforation may develop as a disastrous complication.

Key Words: Retinopathy of prematurity;Scleral buckling surgery;Scleral perforation