Retina

Apple, DJ; Naumann, G. O. H.

doi:10.1007/978-1-4613-8525-7_11

Cited by 2 publications

(1 citation statement)

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“…Numerous studies have reported the histopathological changes of surgically treated retinal detachment (Apple & Naumann 1986;Green 1996;Lucas 1989;Von Domarus & Naumann 1986;Yanoff & Fine 1989). In histopathological studies of eyes treated for retinal detachment (Boniuk & Zimmerman 1961a;1961b, 1965Kornblueth et al 1964;Witschel & Faulhorn 1978;Wilson & Green 1987;Barr 1990), the largest series includes forty-three eyes with silicone and three with polyethylene tubes all obtained from autopsies (Wilson & Green 1987).…”

Section: Discussionmentioning

confidence: 99%

Scleral and episcleral histological changes related to encircling explants in 20 eyes

D’Hermies

Korobelnik

Chauvaud

et al. 1999

Acta Ophthalmologica Scandinavica

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ABSTRACT.Purpose: To investigate scleral and episcleral histological alterations induced by encircling explants used in scleral buckling procedures. Methods: We performed a histopathological study of 20 enucleated eyes after failure of retinal detachment surgery including encircling scleral buckle. Results: Nonabsorbable materials were encapsulated and often gave rise to a limited scleral invagination. The inner capsular surface was regular in 10 silicone explants, it was partially covered with hydrogel fragments and a granulomatous foreign body giant cell reaction in 8 hydrogel explants. One Arruga thread was encased in fibrosis and a catgut circle showed no encapsulation. Other changes were mostly related to the long-standing retinal detachment: peripheral anterior synechiae, anterior uveal effusion, persistent retinal detachment, retinal gliosis, retinal atrophy, retinal breaks, and silicone oil droplets. Conclusion: All nonabsorbable explants underwent encapsulation and prompted scleral invagination. A granulomatous reaction accompanied hydrogel fragmentation. The long term fragmentation impact on implanted eyes remains unknown.

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