Vol. 48 No. 2 Case Report PDF

A Case Report of Scleral Buckle Implant Mimicking An Orbital Tumor

Lee Jerome F. Briones MD, Mark Anthony T. Imperial MD

Department of Ophthalmology, University of the East Ramon Magsaysay
Memorial Medical Center Inc., Metro Manila, Philippines

Corresponding Author: Lee Jerome F. Briones MD
Clinic Address: University of the East Ramon Magsaysay Medical Arts Building, 64 Aurora Boulevard, Quezon City, 1113, Philippines
Clinic Phone Number: +639178271894
Email Address: jerome.briones@gmail.com

Disclosure: The authors declare no conflicts of interest.


Objective: We report a case of a scleral buckle mimicking an orbital tumor 28 years after a retinal detachment repair.

Methods: This is a case report.

Results: A 75-year-old male consulted for progressive, painless blurred vision of the right eye. He had a history of scleral buckling surgery for retinal detachment on the right eye in 1990 that restored his vision. Examination showed right eye ophthalmoplegia and inferior displacement of the globe. Imaging revealed a right supero-temporal orbital mass. Excision of the encapsulated mass was performed. Histopathology revealed an acellular, amorphous, granular and eosinophilic material with no evidence of malignancy. These were consistent with a foreign body. Postoperatively, there were improvements in ocular motility and hypoglobus.

Conclusion: In patients who present with limited ocular motility and have undergone scleral buckling, hydrogel scleral buckle overexpansion should be considered. Excision of such implants is warranted to resolve the signs and symptoms and confirm the etiology.

Keywords: Hydrogel scleral buckle, Silicone scleral buckle, Retinal detachment, Scleral buckling, Orbital tumor