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Combined rhegmatogenous and tractional retinal detachment in a child with incontinentia pigmenti managed by scleral imbrication with scleral buckle
  1. Akash Belenje and
  2. Subhadra Jalali
  1. Anant Bajaj Retina Institute, Smt Kanuri Santhamma center for Vitreo-retinal diseases, LV Prasad Eye Institute, Hyderabad, Telangana, India
  1. Correspondence to Dr Subhadra Jalali; subhadra{at}


We report for the first time a child with incontinentia pigmenti presenting with acute-onset rhegmatogenous retinal detachment in association with pre-existing tractional retinal detachment. Due to the combined nature of this detachment, complex vector forces acting on the retina makes this a difficult to treat situation. A single surgery of modified scleral imbrication with scleral buckle was effective in reattaching the retina by providing a very high buckle indent to accommodate all the complex vector forces. Commonly used procedure of vitrectomy and silicone oil usage was avoided as that often requires multiple surgeries and may result in variable and unpredictable response.

  • Retina
  • Paediatrics

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  • Contributors AB: operating surgeon, treated the patient, wrote the manuscript, literature search. SJ: manuscript editing, literature search.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.