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Binocular Dynamic Visual Acuity in Eyeglass-Corrected Myopic Patients
07:06

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[A man with progressive diplopia].

Niels Crama1, B Jeroen Klevering

  • 1Universitair Medisch Centrum Nijmegen, afd. Oogheelkunde, Nijmegen, the Netherlands. n.crama@ohk.umcn.nl

Nederlands Tijdschrift Voor Geneeskunde
|September 14, 2012
PubMed
Summary
This summary is machine-generated.

Swelling of a Miragel explant caused progressive double vision (diplopia) in a 71-year-old man. Surgical removal of the implant resolved the diplopia, indicating the explant as the cause.

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Area of Science:

  • Ophthalmology
  • Biomaterials Science

Background:

  • Ocular implants are used in various ophthalmic procedures.
  • Miragel is a type of hydrogel commonly used as a soft tissue filler.

Observation:

  • A 71-year-old male patient experienced worsening double vision.
  • The diplopia was directly correlated with swelling of a pre-existing Miragel explant.

Findings:

  • The patient's symptoms of progressive diplopia were attributed to the inflammatory response and subsequent swelling of the Miragel explant.
  • Histopathological examination of the explant, if performed, would likely reveal foreign body reaction and chronic inflammation.

Implications:

  • This case highlights a potential complication associated with Miragel explants, specifically delayed inflammatory reactions leading to mass effect.
  • Ophthalmologists should consider implant-related complications in patients presenting with new-onset diplopia after ocular surgery.
  • Prompt diagnosis and surgical intervention, such as explant removal, can effectively manage such complications and restore visual function.