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Related Experiment Videos

Infection after retinal detachment surgery.

O B Hadden

    Australian and New Zealand Journal of Ophthalmology
    |February 1, 1986
    PubMed
    Summary
    This summary is machine-generated.

    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.

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    The New Zealand medical journal·1991

    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.

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    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.