The Use of Tutoplast as an Adjunct in Scleral Buckle Procedure in Patients with Extremely Thin Sclera


Extremely thin sclera often necessitates abortion of scleral buckle procedures. In patients in whom a scleral buckle is desired, previous techniques have included the use of cyanoacrylate glue and continuing with surgery or placing donor tissue over the areas of thin sclera, but this can delay surgery. This was a retrospective review of three patients with thin sclera encountered during scleral buckling procedures. All patients had Tutoplast Pericardial Graft placed over the areas of thin sclera which allowed the scleral buckle to be sutured onto the Tutoplast rather than the thin sclera. Tutoplast Pericardial Graft is a useful adjunct in scleral buckle procedures with extremely thin sclera, and a scleral buckle can be safely placed over it and lead to successful retinal reattachment.



1. Sternberg P Jr, Tiedeman J, Prensky JG. Sutureless scleral buckle for retinal detachment with thin sclera. Retina 1988;8:247–249.

2. Stunf S, Lumi X, Drnovsek-Olup B. Preserved scleral patch graft for unexpected extreme scleral thinning found at the scleral buckling procedure: a case report. Indian J Ophthalmol 2011;59:235–238.

3. Katena Products. Tutoplast®pericardium 4 x 5 cm [Internet]. Katena [cited 2019 July 1]. Available from: https: //