A Case of Extrusion of a Solid Silicone Tire Migrating through the Superior Rectus Muscle withAeromonas hydrophilaInfection following a Scleral Buckling Procedure

Abstract

To our knowledge, there are no reports ofAeromonas hydrophilainfection after a scleral buckling procedure. Also, migration of a silicone explant element through the rectus muscles is extremely rare. Herein, we describe a case experiencing extrusion of a solid silicone tire migrating through the superior rectus muscle withAeromonas hydrophilainfection following a scleral buckling procedure. A 42-year-old man was referred to our hospital complaining of ocular pain and purulent discharge in his left eye which has persisted for several months. He had a history of bilateral rhegmatogenous retinal detachment which had been treated with scleral buckling. The left eye showed extrusion of the solid silicone buckle which had migrated through the superior rectus muscle and an infection in the upper quadrant of the sclera. The buckle was removed, and the patient was treated with antibiotics. After the removal of the buckle, the symptoms showed rapid amelioration and there was no recurrence of retinal detachment.Aeromonas hydrophilawas isolated from the discharge and the removed explant. He used well water in daily life. In this case, theAeromonas hydrophilainfection of the extruded buckle might have originated from contaminated well water.