2002
DOI: 10.3928/1542-8877-20020501-13
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Cryoextraction of Episcleral Miragel® Buckle Elements: A New Technique to Reduce Fragmentation

Abstract: Abstract. A step-by-step description of a surgical technique for episcleral Miragel® buckle removal is reported. After dissection of the conjunctiva and the capsule surrounding the Miragel® element, the extremity of the buckle is pulled out with a cryoprobe. The removal of Miragel® episcleral buckle with the cryoprobe is a safe and effective technique with a low fragmentation rate and a reduction of the surgical risk related to the use of sharp forceps near a possibly weakened sclera. Procedure time seems also… Show more

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Cited by 20 publications
(2 citation statements)
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“…Although they managed to remove the scleral buckle successfully in four patients using this technique, we found this challenging, and the patient in our case suffered late complications related to the remaining explant fragments. Several other techniques were proposed in the literature, including the pulling on the implant with a cryoprobe [ 18 ], floating the implant out of the capsule with balanced salt solution [ 19 ], consolidating the implant with boric acid to facilitate removal in one piece [ 20 ], or most recently, the modified suction-assisted removal technique [ 21 ]. It is uncertain whether which technique works best.…”
Section: Discussionmentioning
confidence: 99%
“…Although they managed to remove the scleral buckle successfully in four patients using this technique, we found this challenging, and the patient in our case suffered late complications related to the remaining explant fragments. Several other techniques were proposed in the literature, including the pulling on the implant with a cryoprobe [ 18 ], floating the implant out of the capsule with balanced salt solution [ 19 ], consolidating the implant with boric acid to facilitate removal in one piece [ 20 ], or most recently, the modified suction-assisted removal technique [ 21 ]. It is uncertain whether which technique works best.…”
Section: Discussionmentioning
confidence: 99%
“…However, residual fragments are often left behind with this approach, leading to repeated removal procedures. Several alternative techniques and devices have been proposed, for example, pulling on the implant with a cryoprobe 7 or a suction device 8 to assist in the pushing maneuvers, floating the implant out of the capsule with balanced salt solution, 9 or consolidating the implant with boric acid to facilitate removal in one piece. 10 We herein describe a modified suction-assisted removal technique that, in our opinion, is faster, safer, and easier to perform than previous methods.…”
mentioning
confidence: 99%