Utilizing a Previous Silicone Band Track in Recurred Retinal Detachment
Journal of the Korean Ophthalmological Society
;
: 696-700, 2019.
Article
in Korean
| WPRIM
| ID: wpr-766876
ABSTRACT
PURPOSE:
We report a case of utilizing a previous silicone band track in the reoperation of scleral encircling. CASESUMMARY:
An 8-year-old male presented with rhegmatogenous retinal detachment in the right eye. Five days after this diagnosis, he received scleral buckling surgery and cryopexy to seal the retinal tear. One month after surgery, a fundus examination showed subretinal fluid at the inferior site of the scleral buckle. He underwent scleral encircling surgery and a cryopexy procedure. The patient has had an uneventful postoperative course, and the retina has remained attached over a follow-up period of 9 months. However, exotropia and hypotropia developed in the right eye. Diagnosis of restrictive strabismus due to tissue adhesion around the silicone band was made. The encircling band was therefore removed and laser photocoagulation was performed 360° around the retina. Twenty-four hours after surgery, a fundus examination showed subretinal fluid. He received 360° scleral encircling surgery not using the 360° conjunctival peritomy. After confirming a previous encircling tract using #0-0 polydioxanone as a guide, #5-0 Nylon was tied to the end of the guide and inserted through the encircling tract with the end sutured with the silicone band. The silicone band was inserted into the encircling tract by pulling the #5-0 Nylon as a guide. Ophthalmoscopy revealed an attached retina with indentation of the scleral buckle at 360°.CONCLUSIONS:
For reoperation in patients who previously underwent scleral encircling surgery, using the previous scleral encircling tract may be effective in cases with conjunctival and tissue adhesion.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Ophthalmoscopy
/
Reoperation
/
Retina
/
Retinal Perforations
/
Retinaldehyde
/
Scleral Buckling
/
Silicon
/
Silicones
/
Retinal Detachment
/
Tissue Adhesions
Type of study:
Diagnostic study
/
Observational study
/
Prognostic study
Limits:
Child
/
Humans
/
Male
Language:
Korean
Journal:
Journal of the Korean Ophthalmological Society
Year:
2019
Type:
Article
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