Transmuscular migration of solid silicone band

Tan, Lee Teak; Thackare, N; Zohdy, G A; Roberts-Harry, John

doi:10.1038/sj.eye.6702824

Cited by 2 publications

(4 citation statements)

References 7 publications

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“…There have also been reports of buckle migration after head trauma [ 4 ]. Thus, chronic mechanical irritation due to atopic dermatitis may have been an inciting factor in the current case.…”

Section: Discussionmentioning

confidence: 99%

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Simultaneous Occurrence of Buckle Infection and Migration: A Case Report

et al. 2023

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Background: When scleral buckling is performed using a #240 encircling band anterior to the equator for rhegmatogenous retinal detachment, buckle migration may occur anteriorly, eroding the rectus muscle. There are few cases of buckle migration occurring simultaneously with buckle infection. Notably, most previous reports included inadequate data on the pathophysiology of buckle migration and did not include the Hess test and perioperative images. Case presentation: A 36-year-old man with a history of atopic dermatitis underwent scleral buckling for rhegmatogenous retinal detachment of the left eye with #287 and #240 encircling bands at Kagoshima University Hospital. Four years later, he developed discharge, redness, and diplopia of the left eye. He was then referred to our hospital because buckle infection was suspected. The buckle was partially visible on the lower nasal side. Optical coherence tomography of the anterior chamber revealed the buckle to be on the nasal side and overlying the medial rectus muscle. Buckle migration and infection in the left eye was diagnosed, and early buckle removal was recommended. Two weeks later, on the day before surgery, conjunctival melting progressed in the nasal and inferior areas, and the buckle was exposed to a greater extent. In the surgical video at the initial surgery, the silicone band was confirmed to pass under the four rectus muscles, specifically the inferior and medial rectus muscles. At the beginning of the second surgery, we confirmed that the buckles were over the inferior and medial rectus muscles. As far as could be observed after buckle removal, the inferior and medial rectus muscles were not present at the normal location. Postoperatively, ocular pain and discharge quickly resolved. The subjective symptoms of diplopia also improved, and the postoperative Hess chart showed an improved ocular movement in the upward and lateral directions. Conclusions: Buckle migration is a rare postoperative complication of scleral buckling; however, patients at risk of buckle migration, such as those with encircling scleral buckle anterior to the eyeball, should be monitored with caution. If a buckle infection develops, buckle migration may occur within a short period, and early buckle removal should be considered.

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Section: Discussionmentioning

confidence: 99%

“…This phenomenon is called buckle migration [ 1 , 2 ]. Although buckle migration has been often reported [ 3 , 4 , 5 , 6 , 7 ], its simultaneous occurrence with buckle infection has rarely been reported.…”

Section: Introductionmentioning

confidence: 99%

Simultaneous Occurrence of Buckle Infection and Migration: A Case Report

et al. 2023

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“…It has been reported that migrating bands can induce ocular motility disturbances [ 3 , 4 ]. Tan et al [ 2 ] reported a case with ocular motility disturbances in whom reattachment of the cheese-wired lateral rectus muscle was not observed. In the case shown in this present study, the cheese-wired medial rectus muscle was found to have become reattached close to its original attachment site.…”

Section: Discussionmentioning

confidence: 99%

“…The migration of an encircling silicone band through a rectus muscle is a rare postoperative complication associated with the scleral buckling procedure. However, both Kreis et al [ 1 ] and Tan et al [ 2 ] have reported cases of this rare complication. Here, we describe what we believe to be the first reported case of a scleral buckling-associated encircling silicone band that migrated through the rectus muscles, despite the band being securely surgically fixed to the sclera in the scleral tunnel; i.e., a review of the video recording of the surgery confirmed that the encircling band had been placed under the medial rectus muscles during the scleral buckling surgery.…”

Section: Introductionmentioning

confidence: 99%

Transmuscular Migration of a Scleral Tunnel-Secured Encircling Silicone Band

Nishida

Fukumoto

Suzuki

et al. 2016

Case Rep Ophthalmol

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The migration of an encircling silicone band through a rectus muscle is a rare postoperative complication associated with scleral buckling surgery for retinal detachment. In this present study, we describe what we believe to be the first reported case of a patient who experienced postoperative migration of an encircling silicone band through the rectus muscle, despite the band being surgically secured to the sclera in a scleral tunnel. A 58-year-old man presented with a rhegmatogenous retinal detachment in his left eye. Pars plana vitrectomy was performed with the placement of an encircling silicone band, and the patient’s retina was successfully reattached. One year postoperatively, the encircling band became exposed on the nasal side of the conjunctiva next to the limbus without any symptoms. Two weeks later, the exposed encircling band was surgically removed without any complications. The findings of this study show that even when an encircling silicone band is surgically secured around the eye, periodic and careful postoperative follow-up examinations should be performed to ensure no migration of the band.

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Transmuscular migration of solid silicone band

Cited by 2 publications

References 7 publications

Simultaneous Occurrence of Buckle Infection and Migration: A Case Report

Simultaneous Occurrence of Buckle Infection and Migration: A Case Report

Transmuscular Migration of a Scleral Tunnel-Secured Encircling Silicone Band

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