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Year : 2022  |  Volume : 2  |  Issue : 2  |  Page : 488-489

Management of inadvertent scleral penetration during retinal detachment surgery

Department of Vitreoretina and Ocular Oncology, Sankara Eye Hospital, Bangalore, Karnataka, India

Correspondence Address:
Surendra Pal
Department of Vitreoretina and Ocular Oncology, Sankara Eye Hospital, Kundanahalli Gate, Varthur Road, Vaikuntam Layout, Bangalore, Karnataka - 560037
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijo.IJO_1202_21

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We report the management of a case of inadvertent full-thickness scleral penetration during rhegmatogenous retinal detachment (RRD) surgery in a 14-year-old high myope while making partial-thickness scleral tunnel for the passage of the 240 silicone band. Sudden and gross hypotony with subretinal hemorrhage were noted post-penetration. Hypotony was immediately addressed by suturing the penetration site with a 7-0 vicryl suture. Subretinal blood was removed by performing 360° relaxing retinotomy and retinectomy and the retina was attached. This case report highlights the possible reasons for the full-thickness scleral penetration and one of the various methods to handle the same.

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