This 31YO male gave a history of scleral buckling surgery in Cuba 14 years earlier. There were no visual complaints, and vision was 20/70.
Optos color RGB imaging shows an intruding scleral buckle in the superotemporal periphery. The buckle is covered by bare neurosensory retina with some surrounding hyperpigmented chorioretinal scarring. Externally, the eye was quiet, and the conjunctiva completely covered the buckle.
Learning Points:
Intrusion of a scleral buckle is now a rare event with modern surgical techniques and buckling materials. This was most common following MIRAgel explants, which have since been removed from the market (Davuluri et al, JAMA Ophthalmology 2023;141:1081-1082).
An intruding buckle is usually asymptomatic but can cause vitreous hemorrhage (Zarei et al, Int J Retina Vitreous 2020;6;7). Observation for our patient was recommended.
