Preoperative Antibiotic Soaking of Silicone Sponges

Arribas, Neva P.; Olk, R. Joseph; Schertzer, Marion; Okun, Edward; Johnston, Glen P.; Boniuk, Isaac; Escoffery, Richard F.; Grand, M. Gilbert; Burgess, Dean B.

doi:10.1016/s0161-6420(84)34105-7

Cited by 38 publications

(19 citation statements)

References 5 publications

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“…With respect to dense implants, silicone sponges are designed to be more elastic and to produce a more even buckling effect, which usually increases postoperatively 10. The sponges can be impregnated with antibiotics to limit the bacterial colonization of the implant 11. In most cases, silicone sponges are used as episcleral implants, but they can also be placed under scleral flaps if desired.…”

Section: Discussionmentioning

confidence: 99%

Orbital cellulitis following silicone-sponge scleral buckles

Nemet¹,

Ferencz²,

Segal³

et al. 2013

OPTH

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BackgroundAcute or chronic infection of the scleral explant is rare. We report seven cases of scleral explant infections that caused orbital cellulitis.Materials and methodsThis was a retrospective chart review of oculoplastics at oculoplastics and vitreo-retinal units in a secondary referral hospital. All subjects had orbital cellulitis secondary to scleral buckle in the range of January 1990 to March 2010. Demographics, imaging studies, and pathology specimens were reviewed.ResultsA total of 841 silicone-sponge scleral buckle implants for rhegmatogenous retinal detachment were performed. Forty were extracted (4.75%; annual rate of 1.9 cases). Seven (0.83%) had orbital cellulitis. The mean time from implantation to presentation was 5.7 years. There was bacterial growth in all specimens, with Staphylococcus aureus in four.ConclusionsPatients who are operated on with silicone-sponge scleral buckling for rhegmatogenous retinal detachment sometimes require removal of the implant because of infection. However, the infection rate is low. Patients should be followed in the long term for possible complications.

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Section: Discussionmentioning

confidence: 99%

Orbital cellulitis following silicone-sponge scleral buckles

Nemet¹,

Ferencz²,

Segal³

et al. 2013

OPTH

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“…While some reports have suggested that removing the scleral explant causes retinal detachment (Russo and Ruiz 1971; Ulrich et al 1974; Schwartz and Pruett 1977; Schwartz et al 1981), in our case this did not occur, perhaps because we could maintain the screral explant for three months by treatment with antibiotics. To prevent scleral explant infection, one report investigated the value of soaking the scleral explant in antibiotics before placement, which resulted in a sevenfold decrease in infection (Arribas et al 1984). …”

Section: Discussionmentioning

confidence: 99%

An intractable case of Pseudomonas aeruginosa infection after scleral buckling for rhegmatogenous retinal detachment

Nishikiori

Ohguro²

2008

OPTH

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BackgroundScleral buckling is still a common procedure to repair rhematogenous retinal detachment, and acute or chronic infection of the scleral explant is rare. We report an intractable case of acute scleral explant infection by Pseudomonas aeruginosa.CaseA 36-year-old man suffered from acute scleral explant infection by P. aeruginosa forty-eight hours after scleral buckling for rhegmatogenous retinal detachment. The infection was treated by intravenous administration of various appropriate antibiotics for eighteen days and washing the scleral explant with appropriate antibiotics, and appeared to be resolved. However, three months after the initial surgery, we had to remove the scleral explant because of recurrent infection.ObservationsWe encountered an intractable case of acute scleral explant infection by P. aeruginosa, that recurred and forced the removal of the scleral explant.ConclusionsWe found that recurrence of infection necessitated removal of the scleral explant, even though the organism was sensitive to the antibiotics used to treat the infection, and there was an appropriate duration of treatment. Early diagnosis and countermeasures, first considering conservative management, which may have a role in delaying buckle removal, and thus reduce the risk of retinal redetachment, and help prolong the time until surgical treatment such as removing the scleral explant is required.

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“…With respect to dense implants, silicone sponges are designed to be more elastic and to produce a more even buckling effect, which usually increases postoperatively [74]; in addition, the sponges can be impregnated with antibiotics to limit the bacterial colonization of the implant [75]. In most cases silicone sponges are used as episcleral implants, but they can also be placed under scleral flaps if desired.…”

Section: Routinely Used Implants In Clinical Practicementioning

confidence: 99%

“…Today, silicone is considered by surgeons as the -gold standard‖ material for manufacturing scleral buckles [69][70][71][72][73][74][75] and solid/porous silicone implants are marketed worldwide. More than seventy style options for silicone buckles are currently available to the ophthalmic surgeons seeking an implant designed to achieve a particular width, height or shape of the buckle.…”

Section: Summary Of Current Solutionsmentioning

confidence: 99%

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The Use of Polymers in the Treatment of Retinal Detachment: Current Trends and Future Perspectives

Baino

2010

Polymers

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Abstract:Procedures for the treatment of retinal detachment and related conditions have been successfully improved upon in recent years thanks to the advent of new therapies and biomaterials. This review, after giving an overview on eye structure and function, focuses on the treatment of retinal detachment and examines the role and features of the materials used in vitreoretinal surgery, emphasizing scleral buckling and short-term/long-term vitreous tamponade. Specifically, the limitations of existing biomaterials are underlined, based on experimental studies and with particular reference to cells/material interactions. Finally, current and future trends of biomaterials' research in the field of vitreoretinal surgery are considered and discussed.

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Preoperative Antibiotic Soaking of Silicone Sponges

Cited by 38 publications

References 5 publications

Orbital cellulitis following silicone-sponge scleral buckles

Orbital cellulitis following silicone-sponge scleral buckles

An intractable case of Pseudomonas aeruginosa infection after scleral buckling for rhegmatogenous retinal detachment

The Use of Polymers in the Treatment of Retinal Detachment: Current Trends and Future Perspectives

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