Late-onset progressive strabismus associated with a hydrogel scleral buckle.

Abstract

A hydrophilic implant for scleral buckling was developed in 1980. Advantages include softness and elasticity, no dead spaces, ability to gradually absorb and release antibiotics, and stimulating production of a fibrous capsule around the implant. Short-term fellow studies in rabbits showed no clinical or histologic complications. Long-term complications of the hydrogel scleral buckle have emerged in the las 10 years. These included fragmentation, subconjunctival bulging, intraocular erosion, migration, and restriction of extraocular movement. We recently encountered a patient with progressive restrictive strabismus beginning 8 years after retinal detachment repair with a MIRAgel (hydrogel; MIRA, Uxbridge, MA) scleral buckle. Worsening complaints of diplopia and discomfort led to strabismus surgery. Untreatable retinal detachment resulted in enucleation.

• Authors: Henry S Metz, Steven Rose, Catherine Burkat
• Journal: Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus (J AAPOS) Vol. 8 Issue 1 Pg. 72-3 (Feb 2004) ISSN: 1091-8531 [Print] United States
• PMID: 14970805 (Publication Type: Case Reports, Journal Article)

Chemical References

• Hydrogel, Polyethylene Glycol Dimethacrylate

Topics

• Aged
• Aged, 80 and over
• Disease Progression
• Humans
• Hydrogel, Polyethylene Glycol Dimethacrylate (adverse effects)
• Male
• Postoperative Complications
• Scleral Buckling (adverse effects)
• Strabismus (etiology)
• Time Factors
• Visual Acuity