Protruding Scleral Buckle

• May occasionally occurs as a complication of scleral buckling procedure.

Clinical Features

• Symptoms:
  • Foreign body sensation
  • Irritation
  • Pain
  • Tearing
  • Double vision
• Signs:
  • Hyperemia
  • Chemosis
  • Subconjunctival hemorrhage

Management

• Culture of the protruded segment.
• Topical and/or systemic antibiotics.
• Removal of the buckle.
• Conjunctival flap or manufactured pericardial tissue graft may be attempted.