Scleral Buckle Removal in the Vitrectomy Era

Han, Dennis P.; Covert, Douglas J.; Wirostko, William J.; Hammersley, Jill A.; Lindgren, Kevin E.

doi:10.1097/iae.0b013e31826415d9

Cited by 19 publications

(17 citation statements)

References 18 publications

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“…In the current study cohort, only two eyes developed retinal detachment after buckle removal, at 7 and 48 months following SB removal. Mean follow-up period was 39.84 months with a re-detachment rate of 1.51% which is less than previous studies [1,4,9,12,22]. In our study cohort, only 33.33% SB removal were performed within 6 months of buckle surgery whereas in majority cases (66.67%), SB removal was performed after 6 months of buckle surgery.…”

Section: Discussionmentioning

confidence: 53%

Scleral buckle infections: microbiological spectrum and antimicrobial susceptibility

Chhablani

Nayak

Jindal

et al. 2013

J Ophthal Inflamm Infect

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BackgroundThe purpose of the present study was to evaluate the microbiological spectrum and antimicrobial susceptibility in patients with scleral buckle infection. Medical records of all the patients diagnosed as buckle infection at L. V. Prasad Eye Institute between July 1992 and June 2012 were reviewed in this non-comparative, consecutive, retrospective case series.FindingsA total of 132 eyes of 132 patients underwent buckle explantation for buckle infection during the study period. The incidence of buckle infection at our institute during the study period was 0.2% (31 out of 15,022). A total of 124 isolates were identified from 102 positive cultures. The most common etiological agent isolated was Staphylococcus epidermidis (27/124, 21.77%) followed by Mycobacterium sp. (20/124, 16.13%) and Corynebacterium sp. (13/124, 10.48%). The most common gram negative bacilli identified was Pseudomonas aeruginosa (9/124, 7.26%). The median interval between scleral buckling surgery and onset of symptoms of local infection was 30 days. All eyes underwent buckle explantation and median time interval between primary SB surgery and explantation was 13 months. Recurrent retinal detachment was observed in two cases at 7 and 48 months, respectively, after buckle explantation. Gram positive, gram negative, and acid-fast organisms isolated from 2003 to 2012 were most commonly susceptible to vancomycin (100%), ciprofloxacin (100%), and amikacin (89%). Susceptibility to ciprofloxacin during the same time period was observed in 75% (15/20), 100% (13/13), and 87% (7/8) of gram positive, gram negative, and acid-fast isolates, respectively.ConclusionScleral buckle infection is relatively rare and has a delayed clinical presentation. It is most commonly caused by gram positive cocci. Based on the current antimicrobial susceptibility, ciprofloxacin can be used as empirical therapy in the management of scleral buckle infections.

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Section: Discussionmentioning

confidence: 53%

Scleral buckle infections: microbiological spectrum and antimicrobial susceptibility

Chhablani

Nayak

Jindal

et al. 2013

J Ophthal Inflamm Infect

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“…and have reported buckle exposure without clinical infection (16; 44%) as the most common indication and clinical buckle infection with and without exposure (six; 17% each) as next two common indications for SBR. [ 8 ] In their group of patients out of 22 eyes which had buckle exposure, 16 (72.72%) had clinical buckle infection. Patients with exposed buckles in our group were more likely to develop clinical infection (81 clinical infection eyes out of 93 buckle exposure eyes, i.e., 87%).…”

Section: Discussionmentioning

confidence: 99%

“…There has been multitude of reports on indication of SBR in literature. [ 6 7 8 9 10 11 12 ] Nuzzi et al . and Deokule et al .…”

Section: Discussionmentioning

confidence: 99%

“…[ 5 8 ] Buckle infection, which is one of the most common indications of SBR has been noted to have variable presentation in different climatic condition. [ 5 8 9 10 ] Though commensal microorganisms are responsible for most of the buckle infection cases, Pathengay et al . have reported higher prevalence fungus, acid fast organisms and polymicrobial infection in Indian scenario.…”

Section: Introductionmentioning

confidence: 99%

“…[ 5 ] Management of recurrent retinal detachment varies from pneumatic retinopexy to repeat SB and vitrectomy. [ 6 8 11 ]…”

Section: Introductionmentioning

confidence: 99%

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Indications and outcomes of scleral buckle removal in a tertiary eye care center in South India

et al. 2015

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Purpose:To study the clinical profile of patients undergoing scleral buckle removal (SBR) surgery.Materials and Methods:All consecutive patients undergoing SBR surgery following scleral buckle for retinal detachment repair between January 2002 and December 2011 with a minimum postSBR follow-up of 6 months were included in this study. A record based on analysis of indications, methods, complications, and outcomes of the eyes was performed.Results:One hundred and two eyes of 101 patients (men = 77; 76.24% and women = 24; 23.76%) belonging to the age group of 15–78 years (mean 50 ± 15 years) were included in this study. Time gap between scleral buckle and SBR ranged from 2 to 216 months (mean 61 ± 51 months). Buckle exposure with clinical infection (81; 79.41%) was the most common indication. Of 90 (88.2%) eyes with positive culture, 75 (83.3%) revealed single and 15 (16.6%) revealed multiple microorganisms. Staphylococcus epidermidis (42; 41.2%), was the most common isolate. Fungus was isolated in 3 (2.94%) eyes. Globe perforation (14; 13.7%) and recurrent retinal detachment (7; 6.9%) were the commonest complications. Time gap between SBR and recurrent retinal detachment ranged from 15 days to 50 months (mean 12.2 ± 18.3 months).Conclusions:Most of the exposed scleral buckles developed clinical infection few months to years after surgery, ultimately requiring SBR. Recurrent retinal detachment after SBR may appear from few days to years later warranting a long-term follow-up.

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Latrogenic diplopia

et al. 2014

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Diplopia is a very disturbing condition that has been reported as a complication of several surgical procedures. The following review aims to identify the ocular and nonocular surgical techniques more often associated with this undesirable result. Diplopia is reported as an adverse outcome of some neurosurgical procedures, dental procedures, endoscopic paranasal sinus surgery, and several ophthalmic procedures. The most common patterns and some recommendations in order to prevent and treat this frustrating outcome are also given.

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Scleral Buckle Removal in the Vitrectomy Era

Cited by 19 publications

References 18 publications

Scleral buckle infections: microbiological spectrum and antimicrobial susceptibility

Scleral buckle infections: microbiological spectrum and antimicrobial susceptibility

Indications and outcomes of scleral buckle removal in a tertiary eye care center in South India

Latrogenic diplopia

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