Scleral Graft and Muscle Transposition in the Treatment of Scleromalacia and Hypertropia Following Retinal Detachment Surgery.

Ocular motility disfunction and eye wall defects are possible complications of retinal detachment (RD) surgery that may interfere with an acceptable functional result. The case of a 41-year-old man that developed scleromalacia and hypertropia after an RD surgery is presented. A cadaveric scleral graft (CSG) was used for the treatment of scleromalacia. Because of absence of the anterior aspect of the inferior rectus muscle, an anterior transposition of the ipsilateral inferior oblique muscle (ATIIO) for the correction of hypertropia was performed in the same surgical procedure. After a follow-up of 22 months, a good evolution of CSG was observed, as well as orthotropia with the exception for extreme inferior gazes. CSG and ATIIO proved to be an effective initial treatment for scleromalacia and hypertropia secondary to RD surgery.