Journal of Ophthalmic and Vision Research

ISSN: 2008-322X

The latest research in clinical ophthalmology and the science of vision.

The Use of Tutoplast as an Adjunct in Scleral Buckle Procedure in Patients with Extremely Thin Sclera

Published date: Jul 29 2021

Journal Title: Journal of Ophthalmic and Vision Research

Issue title: July–September 2021, Volume 16, Issue 3

Pages: 521–523

DOI: 10.18502/jovr.v16i3.9448

Authors:

Matthew R. Starrmstarr1724@gmail.comDepartment of Ophthalmology, Mayo Clinic, Rochester, MN, USA

Sophie J. BakriDepartment of Ophthalmology, Mayo Clinic, Rochester, MN, USA

Abstract:

Extremely thin sclera often necessitates abortion of scleral buckle procedures. In patients in whom a scleral buckle is desired, previous techniques have included the use of cyanoacrylate glue and continuing with surgery or placing donor tissue over the areas of thin sclera, but this can delay surgery. This was a retrospective review of three patients with thin sclera encountered during scleral buckling procedures. All patients had Tutoplast Pericardial Graft placed over the areas of thin sclera which allowed the scleral buckle to be sutured onto the Tutoplast rather than the thin sclera. Tutoplast Pericardial Graft is a useful adjunct in scleral buckle procedures with extremely thin sclera, and a scleral buckle can be safely placed over it and lead to successful retinal reattachment.

References:

1. Sternberg P Jr, Tiedeman J, Prensky JG. Sutureless scleral buckle for retinal detachment with thin sclera. Retina 1988;8:247–249.

2. Stunf S, Lumi X, Drnovsek-Olup B. Preserved scleral patch graft for unexpected extreme scleral thinning found at the scleral buckling procedure: a case report. Indian J Ophthalmol 2011;59:235–238.

3. Katena Products. Tutoplast®pericardium 4 x 5 cm [Internet]. Katena [cited 2019 July 1]. Available from: https: //www.katena.com/tutoplastrpericardium-68252

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