Abstract
BackgroundScleral buckling is an established modality of treating retinal detachment. Being an external implant the buckle may be prone to infections. We report such a case with a delayed presentation and a rare etiology.Case presentationA 45 year old male presented with redness, foreign body sensation and discharge for one month in his right eye. The patient had undergone a retinal detachment surgery elsewhere 14 years back without any visual gain. Right eye demonstrated no perception of light and the best corrected visual acuity in the left eye was 6/6, N6. On downgaze an exposed and anteriorly displaced scleral buckle was identified with black deposits and mucopurulent material overlying the buckle. Scleral buckle removal was done. On microbiological examination Curvularia species was identified. Successful treatment with antifungals was done.ConclusionsScleral buckle infection with dematiaceous fungi is a rare occurrence. To the best of our knowledge this is the first case report describing a buckle infection caused by the curvularia species.
Highlights
Scleral buckling is an established modality of treating retinal detachment
To the best of our knowledge this is the first case report describing a buckle infection caused by the curvularia species
We report a case of buckle infection due to Curvularia species in an immunocompetent patient
Summary
Scleral buckling has been an established and effective surgical method for treating retinal detachments since over 60 years [1]. In the recent years pars plana vitrectomy has become more popular, scleral buckling has several indications as the primary procedure of choice in a rhegmatogenous retinal detachment. Being an external implant the scleral buckle is prone to get infected and the infection may set in even years after the primary procedure. The commonest organisms reportedly causing a scleral buckle infection are gram positive cocci [2,3,4], in rare cases a fungal infection may set in especially in an immunocompromised host. We report a case of buckle infection due to Curvularia species in an immunocompetent patient. To the best of our knowledge this is the first report of a case describing buckle infection due to Curvularia species. We presume that the inferior retinal detachment was exudative in nature as on subsequent follow-up at 2 months it was seen to have settled and no break was found
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