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Purpose: To report a case of complicated exposed scleral buckle in which amniotic membrane was used to repair the extremely thin sclera that showed the underlying choroid.

Methods: Interventional case report. A 65-year-old man presented to our Department with severe eye pain after retinal detachment repair with scleral buckling technique 7 years ago.

Results: Examination of the left eye revealed extrusion of the buckle with conjunctival and scleral erosion that allowed distinguishing the choroid. The buckle was removed and successful scleral repair was achieved through the use of amniotic membrane.

Conclusion: Amniotic membrane graft is a safe and useful scleral substitute that should be considered to cover scleral defects, in the absence of infection.

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http://dx.doi.org/10.1097/ICB.0b013e3182234a6aDOI Listing

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