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A simple way to remove miragel explants after long-term inflammation and extrusion
Konstantinos Chalioulias1, Acharya Nachiketa, Rob Scott
1From the Vitreoretinal Unit, Birmingham and Midland Eye Centre, Birmingham, United Kingdom.
Purpose:
To report three cases of exposure of Miragel (Medical Instruments Research Associates, Waltham, MA) implants many years after buckling surgery and a new surgical technique to avoid significant fragmentation and achieve safe and effective removal of the exposed implants.
Methods:
Retrospective interventional series of three cases.
Results:
Many years after the initial retinal detachment surgery, Miragel explants can be exposed, causing inflammation. Their removal can be difficult due to increased fragility.
Conclusion:
We have developed a simple and safe technique to remove extruded Miragel explants, reducing the risk of fragmentation.

