| CASE REPORT |
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| Year : 2022 | Volume
: 2
| Issue : 2 | Page : 488-489 |
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Management of inadvertent scleral penetration during retinal detachment surgery
Rajesh Ramanjulu, Surendra Pal, Mahesh Shanmugam, Divyansh Mishra
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
India
 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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