Implante de Miragel, a propósito de 3 casos / Miragel implant, apropos of 3 cases

RESUMEN

Se exponen las consecuencias a largo plazo del uso del implante de miragel como tratamiento del desprendimiento de retina. Se presentan las características durante la cirugía y el postoperatorio de la explantación de este tipo de implante en 3 pacientes que acudieron a la consulta de Retina del Hospital Oftalmológico ®Amistad Argelia Cuba¼ en Djelfa, Republica Popular y Democrática de Argelia, con el diagnóstico de cirugía convencional de retina con implante de miragel realizado en Francia en la primera mitad de la década del 90. Predominó el disconfort por la limitación de los movimientos oculares. Dos casos presentaban exposición del implante y sepsis periocular. A los tres casos se les retiró el implante que se fragmentaba con mucha facilidad y dificultaba su extracción, además se encontró marcada distensión muscular que se recuperó paulatinamente en el postoperatorio al igual que los movimientos oculares

ABSTRACT

The long-term consequences of the use of Miragel implant as treatment of retinal detachment were set forth in this article. The characteristics of the Mirage explant during surgery and postoperatively in three cases, who went to the retinal service of "Amistad Algeria-Cuba" ophthalmological hospital in Djelfa, Democratic People's Republic of Algeria, were presented. They had been operated on by conventional retinal surgery and implanted a Mirage implant in France in the first half of the 90's. The predominant symptom was discomfort due to limited eye movements. Two cases presented with implant exposure and periocular sepsis. The implants were removed from the three patients; they fragmented very easily and made their extraction difficult in addition to marked muscular distension. The latter gradually disappeared and the eye movements were recovered in the postoperative phase