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IntroductionTo assess the anatomical changes taking place in the choroid after a scleral buckle (SB) procedure for retinal detachment repair.MethodsThis cross-sectional study looked at 23 adults with a history of unilateral retinal detachment repaired with a SB or other encircling element. The subjects underwent bilateral Enhanced Depth Spectral Domain Optical Coherence Tomography to image the choroid. The choroidal thickness (CT) was measured, and the non-operative eye was used as an internal control.ResultsCT was measured to be 170.8 ± 60.9 µm (mean ± SD) in eyes with SBs compared to 175.1 ± 61.9 µm in non-operative eyes. There was no statistically significant difference between the two groups (mean 4.3 µm, 95% CI −8.7, 17.3, p value 0.4973, paired t test).ConclusionPlacement of an SB as part of a surgery to repair retinal detachment did not significantly alter CT at the macula.

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A 27-year-old man presented to the Department of Ophthalmology at the University of Minnesota, in March 2011 complaining of redness, soreness, blurry vision and an irregular pupil in the right eye immediately following trauma with a hand to the right eye. His past ocular history was significant for congenital cataracts. In August 2007, he had a 19 D intraocular lens (IOL; CZ70BD; Alcon, Hünenberg, Switzerland) sutured into the ciliary sulcus of the right eye under endoscopic guidance. A 20.5 D IOL (CZ70BD; Alcon) was sutured in the sulcus of the left eye in June 2007.