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Acute Macular Edema Associated With an Infected Scleral Buckle
Arch Ophthalmol. 1998;116:1117-1119.
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Exposure or infection of a scleral buckle is an unusual complication of retinal detachment surgery. It has been reported in 0.5% to 18.0% of all procedures.1 Patients may be seen with ocular irritation, pain, discharge, redness, and sometimes visual loss. Reported causes of visual loss include uveitis with vitreous clouding, recurrent retinal detachment secondary to proliferative vitreoretinopathy, and macular distortion.1-4 This case report describes angiographically documented diffuse macular edema associated with acute visual loss in a patient with an infected and extruded scleral buckle.
Report of a Case
A 77-year-old white man was referred to our clinic with a 2-week history of new-onset visual blurring in the left eye. The patient had an ocular history notable for severe myopia and retinal detachments in both eyes. The patient's medical history was noteworthy only for controlled hypertension. He underwent scleral buckling procedures with silicone explants in the late 1960s. He had cataract extractions in 1984 (left . . . [Full Text of this Article]
Comment
Sundeep Dev, MD;
William F. Mieler, MD;
Robert A. Mittra, MD;
Anu Prasad, BS
Milwaukee, Wis
Reprints: William F. Mieler, MD, Medical College of Wisconsin Eye Institute, 925 N 87th St, Milwaukee, WI 53226-4812 (e-mail: wfmieler@mcw.edu).
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