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KMID : 0213519990130010049
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Korean Journal of Ophthalmology
1999 Volume.13 No. 1 p.49 ~ p.51
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Scleral perforation after scleral buckling surgery for retinopathy of prematurity
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Y S Yu
B L Chang
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Abstract
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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 ㎜ x 5 ㎜). 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.
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