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Scleral buckle repair
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This photo of a 63-year-old white female with a history of retinal detachment and scleral buckle repair in December 2007 in the left eye was chosen as the winner of this month’s “Ocular Photography Challenge.” Sherry L. Winn, OD, of Clarks Summit, Pa., said the patient recently called complaining of the development of a small subepidermal hemorrhage temporally on the lower left lid upon awakening. She was advised to come in due to her history.
Slit-lamp exam revealed an exposed scleral buckle superior temporally. Ironically, the patient was seen just 3 days prior by the retinal specialist for a follow-up and by me that same afternoon for a dry eye-related appointment. Neither the retinal specialist nor I noted any abnormalities on that day.
I immediately contacted the retinal specialist regarding the situation and was advised to monitor the patient closely for development of conjunctival irritation. If the exposed buckle causes chronic irritation or inflammation it will have to be removed.
The patient was seen back 1 week later and the buckle exposure increased slightly. The patient will be monitored closely over the next year to rule out both external and internal complications.
The photos were taken with the Telscreen platinum series slit-lamp camera.
As this month’s winner, Dr. Winn will receive an HA-2 Handheld Tonometer, provided by Kowa.
Submissions for the contest can be e-mailed to nhemphill@slackinc.com. They are judged anonymously by a panel of Primary Care Optometry News Editorial Board members.
Please provide a photo of at least 300 dpi, a 100-word description of the case including what imaging system was used and the name of your home town. Photos may not have been previously published. You will be asked to grant permission to SLACK Inc. to publish your photo.
Contestants are permitted to win once a year. Kowa provides the prizes, including one annual grand prize awarded to the winner chosen from among each round’s winners. Delivery of prizes may take up to 120 days.