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Radiologic findings in infected and noninfected scleral buckles
A M Mansour1, D P Han, J E Kim
1Department of Ophthalmology, American University of Beirut, Beirut, Lebanon. dr.ahmad@cyberia.net.lb
European Journal of Ophthalmology
|October 13, 2007
Summary
Radiologic imaging, including CT and MR, helps diagnose scleral buckle infections early. Findings like scleral thickening and soft tissue swelling indicate infection, aiding prompt treatment.
Area of Science:
- Ophthalmology
- Radiology
- Medical Imaging
Background:
- Scleral buckling is a surgical procedure to repair retinal detachments.
- Infections following scleral buckling can present with varied symptoms.
- Accurate diagnosis of these infections is crucial for effective management.
Purpose of the Study:
- To describe the radiologic features of scleral buckle infections.
- To illustrate findings in the early postoperative period after scleral buckling.
- To correlate imaging findings with clinical presentation.
Main Methods:
- Retrospective multicenter orbital computed tomography (CT) study of 14 patients with scleral buckle infections.
- One patient underwent brain magnetic resonance (MR) imaging.
- Prospective CT study of 38 control patients in the early postoperative period without infection.
Main Results:
- Acute infections showed diffuse scleral thickening and preseptal soft tissue swelling.
- Chronic infections revealed scleral thickening around the buckle and scleral melt.
- Silicone sponge exhibited high attenuation with infection and low attenuation without.
- CT and MR findings aided in differentiating infected from non-infected scleral buckles.
Conclusions:
- Computed tomography (CT) and magnetic resonance (MR) imaging are valuable tools for diagnosing scleral buckle infections.
- Radiologic findings can guide early diagnosis and treatment strategies.
- Imaging assists in differentiating infection from expected postoperative changes.

