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Br J Ophthalmol 2005;89:1380 doi:10.1136/bjo.2005.072280
  • Letter

Hydrated scleral buckle: a late complication of MAI explants

  1. N Bhagat,
  2. A Khanna,
  3. P D Langer
  1. Institute of Ophthalmology and Visual Science, New Jersey Medical School, Newark, NJ 07103, USA
  1. Correspondence to: Paul D Langer MD, Institute of Ophthalmology and Visual Science, New Jersey Medical School, DOC, Suite 6168, 90 Bergen Street, Newark, NJ 07103, USA; plangerumdnj.edu
  • Accepted 10 April 2005

Several long term complications have been reported with MAI scleral buckles,1–3 a synthetic hydrophilic scleral buckling element, first introduced in the 1970s.1 We present a case of an extruding, hydrated MAI scleral buckle that presented as an orbital lesion. The magnetic resonance imaging (MRI) characteristics of the hydrated MAI buckle are also described.

Case report

An 81 year old woman was referred to the orbital service for evaluation of a freely mobile non-painful subconjunctival lesion in the left eye present for at least a year. The extraocular movement was full but with a small left exotropia in primary gaze. Anterior segment examination revealed a firm, nodular subconjunctival lesion in the superomedial quadrant. The diagnosis of extruding scleral buckle versus a large orbital conjunctival inclusion cyst was entertained. She, however, denied a …

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