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Scleral explant removal: the last decade
S Deokule1, A Reginald, A Callear
1Birmingham and Midland Eye Centre Dudley Road Birmingham, UK.
Eye (London, England)
|August 21, 2003
Summary
Scleral explant removal effectively relieves symptoms in most patients, primarily due to extrusion or pain. However, a small risk of retinal redetachment exists, particularly within six months following the procedure.
Area of Science:
- Ophthalmology
- Retinal Surgery
Background:
- Scleral explants are used in retinal detachment surgery.
- Complications can necessitate explant removal.
Purpose of the Study:
- To investigate the indications and outcomes of scleral explant removal.
- To analyze patient demographics and explant characteristics.
Main Methods:
- Retrospective case note review of 72 patients undergoing scleral explant removal.
- Data collected included reasons for removal, explant type, duration, and postoperative outcomes.
- Statistical analysis using Mann-Whitney U-test and Fisher's exact test.
Main Results:
- The most common reasons for removal were extrusion (47.2%) and pain (40.2%).
- Symptomatic relief was achieved in 88% of patients.
- Retinal redetachment occurred in 8.3% of patients, predominantly within 6 months.
Conclusions:
- Scleral explant removal offers significant symptomatic improvement for most patients.
- A small risk of retinal redetachment exists post-removal, particularly in the early postoperative period.