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December 1973

Irregular Astigmatism Following Episcleral Buckling ProcedureWith the Use of Silicone Rubber Sponges

Author Affiliations

Iowa City
From the Department of Ophthalmology, University Hospitals, College of Medicine, Iowa City.

Arch Ophthalmol. 1973;90(6):447-448. doi:10.1001/archopht.1973.01000050447007

Two patients with retinal detachment had antaomic restoration following scleral buckling with episcleral silicone rubber sponges. Severe, irregular, corneal astigmatism was induced, with marked reduction in visual acuity, metamorphopsia, and dissocciative exotropia with diplopia. After removal of the sponges, the corneas reverted toward normal, with improvement in visual acuity and alleviation of symptoms. Moderate degrees of regular astigmatism have persisted.