DR. SATHYA GUNASEKARAN

DR.RAJASEKAR K, DR.SIVAKALAI RAMAKRISHNAN, DR.GOKILA

Abstract

Scleral buckling is a recognized modality of treating retinal detachment. Being an external implant, the buckle may be predisposed to infections. It is important to quickly recognize exposed scleral buckles because they can be a source of infections and a rare but threatening cause of endophthalmitis. We report a case of scleral buckle extrusion with pseudomonas infection. A 27-year-old male presented with redness, foreign body sensation and discharge lasting for 10 days in his left eye. The patient had undergone a retinal detachment surgery elsewhere one year ago. On adduction, an exposed and anteriorly displaced scleral buckle was identified with mucopurulent discharge overlying the buckle. Scleral buckle removal was performed. On microbiological examination, pseudomonas aeruginosa was identified and treated with antibiotics successfully.