BMJ Case Reports 2018; doi:10.1136/bcr-2018-224675
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Scleral dellen following strabismus surgery

  1. Swati Phuljhele
  1. Department of Ophthalmology, Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, Delhi, India
  1. Correspondence to Dr Amar Pujari, dramarpujari{at}
  • Accepted 7 May 2018
  • Published 30 May 2018


A 28-year-old male patient underwent uneventful surgery for right sensory esotropia. On postoperative day 1, there was still residual esotropia, and the forced duction test (FDT) revealed a residual tightness of the medial rectus muscle. The patient underwent exploration under local anaesthesia; intraoperatively there were still residual adhesions, which were released to achieve a free FDT for the medial rectus without any residual deviation. Postoperatively, on day 1, the patient was orthophoric with absence of additional complications. However, on day 7, the patient presented with medial-sided conjunctival recession with bare sclera, along with dryness and thinning of the underlying sclera with uveal tissue exposure (figure 1A).

Figure 1

(A) On postoperative day 7, there were conjunctival recession, scleral thinning and underlying uveal show. (B) Seven days following conjunctival advancement, there was again minimal conjunctival recession but without any further scleral thinning or …

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