Hypotony caused by scleral buckle erosion in Marfan syndrome.

Journal Article (Journal Article)

PURPOSE: To describe hypotony caused by erosion of the conjunctiva and sclera by a silicone scleral buckle. METHODS: Interventional case report. A 33-year-old man with Marfan syndrome presented with hypotony maculopathy and a collapsed globe 17 months after repair of retinal detachment with a silicone sponge and silicone encircling band. RESULTS: Examination in the operating room revealed extrusion of the buckle through the conjunctiva and full-thickness scleral erosion. The silicone buckle was removed, and the scleral defect was closed with interrupted 8-0 nylon sutures. Postoperative glaucoma was treated with cyclophotocoagulation. Eight months after scleral repair, visual acuity was RE: 20/40, intraocular pressure was 10 mm Hg, and the retina was attached. CONCLUSION: Full-thickness scleral erosion secondary to a silicone exoplant causing hypotony is a rare long-term complication in patients with thin sclera.

Full Text

Duke Authors

Cited Authors

  • Deramo, VA; Haupert, CL; Fekrat, S; Postel, EA

Published Date

  • September 2001

Published In

Volume / Issue

  • 132 / 3

Start / End Page

  • 429 - 431

PubMed ID

  • 11530070

International Standard Serial Number (ISSN)

  • 0002-9394

Digital Object Identifier (DOI)

  • 10.1016/s0002-9394(01)00993-x


  • eng

Conference Location

  • United States