Extrusion of a solid silicon band buckle migrating through the medial rectus muscle

Abstract

Exposure of the scleral explant is a rare complication of scleral buckling surgery. We report a case of a young male who presented to us with foreign-body sensation in his right eye for 1 month. He had undergone right eye scleral buckling surgery with an encircling silicon band 14 years back. On presentation, the right eye demonstrated an exposed segment of the silicon band medial to the limbus along with the torn off anchoring suture of inferonasal quadrant. The ocular movements were full and patient did not complain of diplopia. The band would have probably cheese-wired and migrated through the medial rectus muscle with slow reattachment of muscle to the sclera with scar formation.

Keywords

• exposed scleral buckle
• exposed silicon band
• extruded scleral buckle