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Photo Essay
August 2004

Intruding Scleral Sutures 12 Years After Primary Repair

Arch Ophthalmol. 2004;122(8):1238-1239. doi:10.1001/archopht.122.8.1238

A 33-year-old man had sudden onset of decreased vision and a red spoton the right eye. His ocular history included penetrating injury to the righteye while working on a heavy metal punch press 12 years previously. At thetime of injury, the patient underwent scleral laceration repair with parsplana vitrectomy, removal of intraocular foreign body, and scleral bucklingprocedure. The 6-mm laceration was closed with 4-0 and 5-0 Dacron sutures(Alcon Surgical Inc, Fort Worth, Tex) and covered with a 5-mm radial scleralsponge and overlying encircling 240 band.