PURPOSE/METHODS: A 34-year-old man developed severe scleral thinning w
ith imminent prolapse after conventional retinal detachment repair, in
cluding pars plana vitrectomy, endolaser photocoagulation, and perfluo
ropropane injection. Cadaveric dura mater was used to repair the scler
al defect. RESULTS/CONCLUSION: The cause of scleromalacia in this case
remains to be determined. Commercially prepared cadaveric dura mater
can be successfully used as a tectonic graft for the treatment of scle
ral thinning,