Scleral buckle infection with Aspergillus and pyogenic granuloma: A case report

Scleral buckle infection after detachment surgery is a rare condition and it can occur even years after. We report two cases with scleral buckle infection who had undergone detachment surgery 11 and 12 years ago. The first patient was admitted to clinic with pain and discharge. Intense purulent discharge, conjunctival hyperemia, chemosis, and a large mass extending to the corneal surface were seen on her anterior segment examination. The second case had reconstruction surgery with oral mucosal greft for sponge exposure 4 years ago and she had purulent discharge, conjunctival chemosis and sponge were exposed on her anterior segment examination. During the surgery of both cases, yellowish-white multiple foci seen on buckle material which gave an impression of a fungal infection. We performed removal of the mass and scleral buckle in the first case, and removal of the scleral buckle, covering of thinned sclera with oral mucosal greft, and tarsorrhaphy in the second case. After Aspergillus grown on the culture media, lavage with voriconazole and voriconazole eye drop treatments completed and there was no recurrence in terms of detachment and infection.