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Reminder of important clinical lesson
Missed sclera buckle as a cause of recurrent conjunctivitis
  1. Egle Rostron1,
  2. Lamis Abdelaziz1,
  3. Ramez Barbara2,
  4. Timothy Metcalfe1
  1. 1Ophthalmology Department, Harrogate District Hospital, Harrogate, UK
  2. 2Ophthalmology Department, Bnai Zion Medical Centre, Haifa, Israel
  1. Correspondence to Dr Lamis Abdelaziz, lamisabdelaziz{at}


A 63-year-old woman was referred to the eye clinic with a 2-year history of unresolving right eye discomfort, irritation and recurrent conjunctivitis, managed by her general practitioner, where frequent use of topical antibiotics and ocular lubricants provided little and transient relief. The right eye was blind following a complicated retinal detachment surgery 30 years ago. Examination revealed an extruding silicone sponge scleral buckle from a previous retinal detachment surgery in the superior conjunctival fornix, under the right upper lid. This was subsequently surgically removed and her symptoms resolved.

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