Anterior segment ischemia following scleral buckle surgery: The forgotten enemy

Abstract

Anterior segment ischemia (ASI) is a rare, almost forgotten complication of scleral buckle (SB) surgery. The course varies from mild self-limited to severe type causing significant vision loss. A number of local and systemic factors can precipitate ASI. It is important to be aware of these factors and take the necessary steps to avoid this complication. Despite that, if the patient develops ASI, early recognition is important. Mild cases are managed conservatively whereas severe cases will require removal of the band. We present a case of an 18-year-old male who developed a mild type of ASI post-SB surgery managed conservatively.

Keywords

• anterior ciliary arteries
• anterior segment ischemia
• encircling band
• retinal detachment
• scleral buckle surgery