Abstract
To describe the removal of scleral buckle (SB) as a potential treatment option for persistent subfoveal fluid after SB retinal reattachment surgery. Case report of a single patient. A 56-year-old man with a preoperative best-corrected visual acuity of 20/20 underwent SB surgery for a macula-on retinal detachment. Postoperatively he developed subfoveal fluid with best-corrected visual acuity ranging from 20/30 to 20/40. Nine months after the original retinal reattachment surgery, the patient underwent SB removal as a treatment for persistent subfoveal fluid and incomplete recovery of visual acuity. One week after SB removal, the subfoveal fluid was substantially diminished and best-corrected visual acuity had returned to 20/20. This case suggests that removal of SB after retinal reattachment may be a viable treatment option in patients with persistent subfoveal fluid on optical coherence tomography and incomplete recovery of preoperative visual acuity.
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