Protruding Scleral Buckle

Protruding scleral buckle. 

  • May occasionally occurs as a complication of scleral buckling procedure.

Clinical features:

  • Symptoms:
    • Foreign body sensation
    • Irritation
    • Pain
    • Tearing
    • Double vision
  • Signs:
    • Hyperemia
    • Chemosis
    • Subconjunctival hemorrhage

Management:

  • Culture of the protruded segment.
  • Topical and/or systemic antibiotics.
  • Removal of the buckle.
  • Conjunctival flap or manufactured pericardial tissue graft may be attempted.