First Author: C.Kim SOUTH KOREA
Co Author(s): Y. Kim S. Lim
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To report two cases of rectus muscle tear during scleral buckling.
Parangsae Eye ClinicGwangju, Korea South
Case 1: A 72-year-old woman who had the superior rhegmatogenous retinal detachment (RRD) of her left eye visited our clinic. She has high myopia with pseudophakia. We planned an operation of pars plana vitrectomy (PPV) with scleral buckling. The medial rectus(MR) was torn when the assistant was pulling the inferior rectus (IR) and medial rectus by 2-0 black silk. Tear site is about 6-7mm apart from MR insertion. we sutured the proximal end of MR to remaining muscle stump including Tenon’s capsule. Also, we performed PPV with silicone oil injection. On the next day after surgery, her left eye retina was flat. And the eyeball position was straight and the eyeball movement was normal. Case2 A 70-year-old woman who had the inferior RRD of her left eye visited our clinic. the horseshoe tear was at 6 o/c . We decided to perform the radial scleral buckle. The inferior rectus (IR) was torn when the assistant was pulling the black silk. We sutured IR as same as the above. The eyeball position and eyeball movement were normal.
Rectus muscle could be torn by pulling during scleral buckling. If it happens, it is recommended that proximal end of the ruptured muscle is sutured to remaining muscle including Tenon’s capsule.