Complications of hydrogel explants used in scleral buckling surgery

Kearney, John J.; Lahey, J. Michael; Borirak-chanyavat, Sid; Schwartz, Daniel M.; Wilson, Deanna; Robins, D. W.

doi:10.1016/s0002-9394(03)00873-0

Cited by 50 publications

(33 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…13,[16][17][18][19][21][22][23] In this study, there was a low rate of retinal redetachment following removal of buckle (7.7%), and, as mentioned previously, this case was remarkable owing to its complicated primary reattachment surgery, with globe perforation following suture placement. Also, as the buckle was obviously extruding in this particular case to such a degree that it could be safely and painlessly removed at the slit lamp, it is doubtful that this explant was creating an indent sufficient to contribute to a successful surgical outcome, or that its removal actually contributed to retinal redetachment.…”

Section: Discussionmentioning

confidence: 68%

Buckle-related complications following surgical repair of retinal dialysis

James

O'Doherty

Beatty

2006

Eye

View full text Add to dashboard Cite

Aim To describe buckle-related complications following surgical repair of retinal dialysis. Methods A retrospective study of 28 consecutive cryobuckle procedures for retinal detachments secondary to retinal dialysis is reported, with particular attention directed towards postoperative complications relating to the buckle. Stata 8 statistical software and Fisher's exact test were used to analyse the data. Results Of the 28 cases, anatomic success was achieved with a single procedure in 26 cases (92.9%). Postoperative complications were seen in 20 cases (71.4%), with complications attributable to the buckle noted in 19 (67.9%). Buckle-related complications included exposure (7; 25%), strabismus (5; 17.9%), and infection (3; 10.7%). Surgical removal of the buckle was indicated in 13 cases (46.4%), typically within the first 6 postoperative months. Of these, the retina remained flat following removal of buckle in 12 cases (92.3%), whereas the retina redetached in one case (7.7%). Conclusion Cryotherapy with explant is an effective primary procedure for the surgical repair of retinal detachment secondary to retinal dialysis. However, there is a high rate of postoperative complications relating to the buckle following this surgical approach, although the buckle can be safely removed without compromising the anatomic success of the primary surgery in the vast majority of cases.

show abstract

Section: Discussionmentioning

confidence: 68%

Buckle-related complications following surgical repair of retinal dialysis

James

O'Doherty

Beatty

2006

Eye

View full text Add to dashboard Cite

show abstract

“…[1][2][3][4][5][6][7][8][9] Reported indications for SB removal are numerous and include SB exposure, SB extrusion, migration of SB elements, [4][5][6][7][8][9][10][11][12][13][14][15] intrusion of SB, 13,[16][17][18][19][20] infection, 2,6-8,10,13 chronic pain, inflammation, foreign body sensation, 3,6,7,9,13,14,21 strabismus and diplopia, [6][7][8][9]10,11,14,21 recurrent subconjunctival hemorrhage, 3 macular distortion, 3 impingement of the optic nerve, 3 swelling of buckle elements, 11,21 granuloma, 10,11 sudden loss of vision, 14 and cutaneous extrusion. …”

Section: Introductionmentioning

confidence: 99%

“…22 Removal of buckling elements is a significant event, as it can result in scleral perforation, 11,14 endophthalmitis, 14,23 and recurrent RD in 0% to 34% of cases. [1][2][3][6][7][8]10,11,13,14,24,25 Although prior studies have investigated complications of SB removal, [2][3][4][5][8][9][10][11] we are not aware of any recent large case-control study on risk factors for SB removal.…”

Section: Introductionmentioning

confidence: 99%

Risk Factors for Scleral Buckle Removal: A Matched, Case-Control Study

Covert

Wirostko

Hammersley

et al. 2008

American Journal of Ophthalmology

View full text Add to dashboard Cite

“…A wide range of RR has been reported in the literature 10,[20][21][22][23] after removal of scleral buckles, reaching as high as 34%. Reported rates of intraoperative scleral perforation reach 8% for silicone buckles and range from 0 to 18% for MIRAgel explants.…”

Section: Discussionmentioning

confidence: 99%