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
|