Eyelid fistula caused by a scleral buckle.
Complications of scleral buckle procedures for retinal detachments are rather uncommon yet may result in a broad scope of problems. The authors report a case of a chronic eyelid fistula caused by a scleral buckle. The patient was an 81-year-old woman who presented with a nonhealing left upper eyelid wound that was repeatedly misdiagnosed as a chalazion, but diagnostic workup revealed an extruded scleral buckle to be the cause. The patient was treated surgically with removal of the scleral buckle and full-thickness fistula repair and her wound healed well. A scleral buckle can erode through conjunctiva and the full thickness of an eyelid, causing an eyelid fistula and necessitate removal of the buckle.
Ozgur
Omar K
OK
Ophthalmic Plastic and Orbital Surgery, University of California, Davis Eye Center, Sacramento, California, USA.
Modjtahedi
Sara P
SP
Lin
Lily Koo
LK
D000369:Aged, 80 and over; D020878:Device Removal; D005141:Eyelid Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D005260:Female; D005402:Fistula / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006801:Humans; D012163:Retinal Detachment / Q000601:surgery; D012591:Scleral Buckling / Q000009:adverse effects*; D014057:Tomography, X-Ray Computed; D014945:Wound Healing