Scleral buckle and choroidal detachment

Case contributed by Shervin Sharifkashani
Diagnosis certain

Presentation

Right eye sudden pain and decreased visual acuity after the collision of an object with the right eye with an implanted scleral buckle.

Patient Data

Age: 90 years
Gender: Female

Right eye scleral buckle and choroidal detachment with large thickness suprachoroidal hemorrhage with thickness up to 14mm are seen. Both eye globes have asymmetrically large AP lengths up to 26mm and a thin uveoscleral layer more compatible with chorioretinal coloboma and have no native lens. Anterior uveoscleral and cornea tear in the right eye globe are noted. Dilated cerebral ventricles are also seen.

Case Discussion

The case illustrates the choroidal detachment with suprachoroidal hemorrhage as an uncommon complication of the scleral buckle implantation after trauma.

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