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February 1965

Transscleral Erosion of Silicone Band

Author Affiliations

New York
From the Department of Ophthalmology, New York University Medical Center. Clinical Instructor in Ophthalmology; Director of Ophthalmology, Hunterdon Medical Center, Flemington, NJ (Dr. Kurz). Instructor in Pathology; assigned to Ophthalmology (Dr. Ezrow).

Arch Ophthalmol. 1965;73(2):183-188. doi:10.1001/archopht.1965.00970030185007

Introduction  Erosion of encircling polyethylene tubes through the sclera has been recognized as a late complication of scleral buckling operations for retinal detachment.1,2 In recent years silicone products have tended to replace polyethylene tubes. In addition to being more inert and having no central dead space which can act as a site of possible infection, silicone bands have greater elasticity than polyethylene tubes. One advantage of this greater elasticity is thought to be a decreased likelihood of erosion through the sclera. We believe the following case to be the first reported instance in which an encircling silicone band did erodo through the sclera into the choroid.

Report of Case 

History.  —A 27-year-old Negro man was struck in his left eye by the shaft of a nail which split in two while being hammered into a wall on April 26, 1962. The nail entered the limbal region in the 5