Scleral buckle induce orbital cellulitis and scleritis – A case report and literature review

Alanazi, Reem Farhan; Schellini, Silvana Artioli; Al-Sheikh, Osama; Elkhamary, Sahar

doi:10.1016/j.sjopt.2019.01.001

Cited by 3 publications

(1 citation statement)

References 25 publications

(21 reference statements)

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“…1–3 Furthermore, to our knowledge, there are no previously documented cases in the literature that demonstrate an infectious sinusitis leading to a simultaneous orbital cellulitis, keratitis, scleritis, uveitis, and central retinal artery occlusion. There are several reports of scleral-buckle induced orbital cellulitis co-occurring with an infectious scleritis, 4 but this is a localized infection due to a surgically implanted foreign body. Chau et al 5 recently published an article discussing the incidence of orbital cellulitis, scleritis, keratitis, and uveitis from periodontal disease; while they found an association between periodontal infections and these various ocular infections, they did not find any cases of all these ocular manifestations occurring at 1 time.…”

Section: Discussionmentioning

confidence: 99%

Parvimonas micra Necrotizing Panophthalmitis Involving the Sclera, Cornea, Uvea, Retina, and Orbit

Siktberg

Dempsey²

2021

Ophthalmic Plastic &Amp; Reconstructive Surgery

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Section: Discussionmentioning

confidence: 99%

Parvimonas micra Necrotizing Panophthalmitis Involving the Sclera, Cornea, Uvea, Retina, and Orbit

Siktberg

Dempsey²

2021

Ophthalmic Plastic &Amp; Reconstructive Surgery

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Historical and practical aspects of macular buckle surgery in the treatment of myopic tractional maculopathy: case series and literature review

Cyrino,

de Lucena,

de Oliveira Audi

et al. 2024

Int J Retin Vitr

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Background Uncorrected myopia is a leading cause of blindness globally, with a rising prevalence in recent decades. Pathological myopia, often seen in individuals with increased axial length (AXL), can result in severe structural changes in the posterior pole, including myopic tractional maculopathy (MTM). MTM arises from tractional forces at the vitreoretinal interface, leading to progressive macular retinoschisis, macular holes, and retinal detachment (RD). This study aims to outline preoperative evaluation and surgical indication criteria for MTM, based on the MTM staging system, and to share our Brazilian experience with three cases of macular buckle (MB) surgery, all with over a year of follow-up. Methods We conducted a retrospective analysis of three cases of MTM-associated RD treated with MB surgery, with or without pars plana vitrectomy. Preoperative evaluations included optical coherence tomography (OCT) and ultrasonography (USG) to assess the extent of macular involvement and retinal detachment. Surgical indications were determined based on the MTM staging system. The MB was assembled using customizable and accessible materials. Surgical procedures varied according to the specific needs of each case. An informed consent form regarding the surgical procedure was appropriately obtained for each case. The study was conducted with the proper approval of the institution’s ethics committee. Results All three cases demonstrated successful retinal attachment during the mean follow-up of eighteen months. In the first case, combined phacoemulsification, vitrectomy, and MB were performed for MTM with macular hole and RD. The second case required MB and vitrectomy after two failed RD surgeries. In the third case, a macular detachment with an internal lamellar hole was treated with MB alone. These cases highlight the efficacy of MB surgery in managing MTM in highly myopic eyes. Conclusions MB surgery is an effective treatment option for MTM-associated RD in highly myopic eyes, providing long-term retinal attachment. Our experience demonstrates that with proper preoperative evaluation and surgical planning, MB can be successfully implemented using accessible materials, offering a viable solution in resource-limited settings. Further studies with larger sample sizes are warranted to validate these findings and refine surgical techniques.

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Subconjunctival Abscess Formation with Periorbital Cellulitis Following Scleral Buckling

Kwak¹,

Lee²,

Jang³

2022

J Korean Ophthalmol Soc

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Purpose: We present a case of a subconjunctival abscess formation with periorbital cellulitis following scleral buckling (SB) and pars planar vitrectomy (PPV).Case summary: A 51-year-old female patient came to our hospital with complaints of ocular pain and discharge in the right eye. The patient underwent SB and several times of PPV for multiple rhegmatogenous retinal detachment due to acute retinal necrosis. The onset of symptoms was 9 months after the last vitrectomy. A subconjunctival abscess was seen at 8 o'clock position on slit lamp, and periorbital cellulitis was observed on computed tomography image, the patient underwent an incision and drainage (I&D) surgery. Another 9 months later, a subconjunctival abscess was newly found at 4 o'clock position. Since the abscess site and the position of the stitch which sutured the buckle sponge was exactly same, the cause of infection was thought to be the sponge suture materials. Along with I&D surgery, the suture at the end of the sponge was removed. After then, conjunctival and periorbital inflammation got improved and the patient is still in the process of examination to date.Conclusions: Subconjunctival abscess or periorbital cellulitis is a rare complication of SB, caused by the use of an exogenous materials such as silicon sponge or suture stitches. Therefore, when ocular pain or inflammation is observed in SB patients, early detection and active treatment is required for suspected periorbital cellulitis.

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Scleral buckle induce orbital cellulitis and scleritis – A case report and literature review

Cited by 3 publications

References 25 publications

Parvimonas micra Necrotizing Panophthalmitis Involving the Sclera, Cornea, Uvea, Retina, and Orbit

Parvimonas micra Necrotizing Panophthalmitis Involving the Sclera, Cornea, Uvea, Retina, and Orbit

Historical and practical aspects of macular buckle surgery in the treatment of myopic tractional maculopathy: case series and literature review

Subconjunctival Abscess Formation with Periorbital Cellulitis Following Scleral Buckling

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