Management of scleral rupture during retinal detachment surgery: a case report.
OBJECTIVE
Rupture of the sclera occurring during retinal detachment surgery is generally associated with unfavourable anatomic and visual outcomes. Re-operation after a failed scleral buckle procedure and pre-existing scleral thinning are considered the main risk factors for scleral rupture.


METHODS
We describe the management and the favourable outcome of a case of scleral rupture in a 71-year-old woman during re-operation for retinal detachment.


CONCLUSIONS
We managed this case of scleral rupture in accordance with current indications concerning the anatomical recovery, by scleral suture and patch graft, restoring IOP by gas tamponade. The positive outcome was partly related to the prompt closure of the retinal hole which led to reattachment, and partly to favourable events such as the moderate intensity of vitreous hemorrhage and the lack of any more serious intraoperative and postoperative complications.
Carpineto
P
P
Department of Medicine and Ageing Sciences, Section of Ophthalmology, University G. D'Annunzio, Chieti, Italy. paolocarpineto@hotmail.com
Ciancaglini
M
M
Scaramucci
S
S
Nubile
M
M
Mastropasqua
L
L
D000368:Aged; D005131:Eye Injuries / Q000209:etiology / Q000601:surgery*; D005260:Female; D006801:Humans; D012086:Reoperation; D012163:Retinal Detachment / Q000601:surgery*; D012421:Rupture; D012590:Sclera / Q000293:injuries* / Q000637:transplantation; D012591:Scleral Buckling / Q000009:adverse effects*; D013536:Suture Techniques; D016896:Treatment Outcome; D014792:Visual Acuity