%0 Case Reports
%T Orbital and Sinonasal Complications of Hydrogel Scleral Buckle: A Case Report.
%A Tong JY
%A Smith M
%A Gout T
%A Tumuluri K
%A Taylor S
%J Ophthalmic Plast Reconstr Surg
%V 38
%N 6
%D Nov-Dec 2022 1
%M 35604377
%F 2.011
%R 10.1097/IOP.0000000000002216
%X The hydrogel scleral buckle is a hydrophilic implant that is characterized by progressive expansion and can present with secondary orbital changes. The authors present a unique case of hydrogel-induced erosion of the orbital roof into the frontal sinus, with formation of a sino-orbital communication that resulted in frontal sinusitis and adjacent cerebritis. The hydrogel material is radiologically characterized as a fluid-filled hypertense T2 mass with rim enhancement and peripheral calcification. Awareness of late orbital complications from the hydrogel material is important to distinguish this entity from other mimicking orbital pathologies.