Multimodality Imaging of Hydrogel Scleral Buckles

Ginat, Daniel Thomas; Singh, Arun D.; Moonis, Gul

doi:10.1097/iae.0b013e318261a76e

Cited by 15 publications

(2 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…14,25 B-scans of the patients in this series identified intraocular MIRAgel as a hyperechoic substance. In our series, B-scan evaluation identified intraocular MIRAgel in only three of the five patients.…”

Section: Discussionmentioning

confidence: 66%

Globe Loss From Intraocular Invasion of MIRAgel Scleral Buckle Components

Rubinstein

Choudhary²,

Modi³

et al. 2016

Ophthalmic Plastic &Amp; Reconstructive Surgery

View full text Add to dashboard Cite

Purpose To describe intraocular invasion of MIRAgel scleral buckles requiring evisceration. Methods This is an IRB-approved retrospective consecutive case series of eyes requiring evisceration secondary to intraocular intrusion of MIRAgel implants performed at the Cole Eye Institute from 2000 to 2014. Charts were reviewed for age at surgery, gender, laterality, time between MIRAgel placement to evisceration, preoperative examination and imaging results, intraoperative findings, postoperative complications, and duration of follow-up. Results Five eyes of five patients underwent evisceration due to a blind, painful eye secondary to MIRAgel expansion. The mean time between MIRAgel placement and evisceration was 21 years (range: 17 to 30 years). Preoperative ultrasound identified intraocular MIRAgel in 3/5 cases; however, intraocular MIRAgel was identified during surgery in all 5 cases. A transocular-approach orbitotomy was performed at the time of evisceration in an effort to remove the MIRAgel. Post-operative complications included ptosis and inability to retain an ocular prosthesis. No cases of orbital implant extrusion occurred. Conclusion Scleral invasion and intraocular penetration of MIRAgel may occur decades after placement. This may result in a blind, painful eye requiring evisceration and orbitotomy to remove residual material. Suspicion of intraocular penetration of implant should be high in blind, painful eyes. Surgical removal can be difficult due to MIRAgel fragmentation. Conjunctival insufficiency may result in the need for further surgery after evisceration.

show abstract

Section: Discussionmentioning

confidence: 66%

Globe Loss From Intraocular Invasion of MIRAgel Scleral Buckle Components

Rubinstein

Choudhary²,

Modi³

et al. 2016

Ophthalmic Plastic &Amp; Reconstructive Surgery

View full text Add to dashboard Cite

show abstract

“…Numerous complications have been attributed to hydrogel implants, such as orbital pseudotumours, as a result of which multimodality imaging is well described in cases of hydrogel implants 5. The development of a chocolate cyst resulting from haemorrhage within an encapsulated silicone SBE after an event of inflammation or infection has not been reported.…”

Section: Discussionmentioning

confidence: 99%

An epibulbar chocolate cyst: a rare complication of silicone-based scleral buckle

et al. 2015

View full text Add to dashboard Cite

A patient with a history of vitreoretinal surgery presented with nasal dystopia, diplopia and epibulbar bluish black mass simulating a chocolate cyst in the right eye. After a non-conclusive ocular examination, he underwent CT of the orbit along with volume rendition and three-dimensional reconstruction, which demonstrated intact globe with laterally displaced band-buckle assembly along with peri-scleral buckle element (SBE) soft tissue proliferation. Imaging-assisted exploration of the lesion was performed and retained scleral buckle element (SBE) was removed in toto; thus relieving the patient long-standing dystopia.

show abstract