A scleral buckle intrusion 19 years after its use in retinal detachment surgery

Case report: Intrusion is defined as erosion and protrusion of the scleral implant into the vitreous cavity. This condition may occur as a retinal detachment, vitreous hemorrhage, endophthalmitis or be without symptoms. We performed a vitrectomy alone in a patient with relapsing vitreous hemorrhage secondary to the intrusion of a scleral buckle implanted 19 years previously and left intact the intruding buckle. Discussion: Intrusion of the scleral buckle is an uncommon complication of retinal detachment surgery. We discuss the management of scleral buckle intrusion (Arch Soc Esp Oftalmol 2007; 82: 443446).