Related Experiment Videos
Migrating scleral explants
L P Lanigan1, N Wilson-Holt, Z J Gregor
1Moorfields Eye Hospital, London.
Eye (London, England)
|January 1, 1992
Summary
An uncommon complication of retinal detachment surgery, extrascleral explant anterior migration, occurred when the explant pierced the rectus muscle. This case series discusses the potential causes and outcomes of this rare event.
Area of Science:
- Ophthalmology
- Surgical Complications
- Retinal Detachment Repair
Background:
- Buckling procedures are a standard surgical technique for retinal detachment repair.
- Extrascleral explants are commonly used to support the buckling element.
- Anterior migration of these explants is a rare but significant complication.
Observation:
- This study reports five cases of extrascleral explant anterior migration after retinal detachment surgery.
- In all cases, the explant had migrated anteriorly, piercing the rectus muscle insertion.
- The rectus muscles were not disinserted during the initial surgical procedure.
Findings:
- Anterior migration of extrascleral explants through rectus muscle insertion is a previously unreported complication.
- Ocular motility problems were observed in only two of the five patients.
- The study explores potential mechanisms leading to this specific explant migration.
Implications:
- Understanding the mechanisms of explant migration can help refine surgical techniques.
- This complication may necessitate further surgical intervention for correction.
- Awareness of this complication is important for ophthalmologists performing retinal detachment surgery.