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Infection after retinal detachment surgery.
Australian and New Zealand Journal of Ophthalmology
|February 1, 1986
Summary
Infection of the scleral buckle occurred in 5.6% of retinal detachment surgeries. Early removal of infected buckles is recommended to prevent severe complications like massive periretinal proliferation.
Area of Science:
- Ophthalmology
- Surgical Infections
Background:
- Scleral buckle surgery is a common procedure for retinal detachment.
- Infection of the scleral buckle is a potential complication that can lead to poor visual outcomes.
Purpose of the Study:
- To determine the incidence of scleral buckle infection in retinal detachment surgery.
- To evaluate the outcomes of infected scleral buckles and establish optimal management strategies.
Main Methods:
- Retrospective analysis of 250 consecutive retinal detachment operations performed by a single surgeon.
- Identification and characterization of infected scleral buckle cases, including causative organisms and surgical details.
- Assessment of visual acuity and complications after an average follow-up of 22 months.
Main Results:
- 14 cases (5.6%) of scleral buckle infection were identified.
- Staphylococcus aureus was the most common infecting organism.
- Only six of the 14 infected cases achieved vision of 6/36 or better, with two experiencing persistent traction detachments.
Conclusions:
- Infected scleral buckles are associated with significant visual morbidity.
- Early removal of the infected sponge is the preferred management approach.
- The risks of redetachment are outweighed by the severe sequelae of prolonged inflammation.