Hida Tetsuo, Oshitari Kazuhiro
Department of Ophthalmology, Kyorin University School of Medicine, 6-20-2 Shinkawa, Mitaka 181-8611, Japan.
Nippon Ganka Gakkai Zasshi. 2003 Feb;107(2):71-5.
Long-term complications of extrusion have been reported in patients who received MIRAgel buckles for retinal detachment. All ophthalmologists need to recognize the clinical characteristics of these severe complications, and how the clinical course of complication after the use of MIRAgel buckles differs from that of silicone buckles.
Case reports and a review of the literature.
Severe deterioration of MIRAgel buckles may occur when left in place for 5 years or longer, causing adverse symptoms and occasionally intraocular complications. This deterioration is associated with changes in the microstructural architecture of the hydrogel material in the MIRAgel buckles.
Long-term follow-up is necessary for patients with MIRAgel buckles, and the buckles should be removed prophylactically when advisable. When severe ocular motility disturbances and/or presence of a tumor-like extraocular mass are observed in patients several years after retinal detachment surgery, the cause may be a swollen MIRAgel buckle.
接受MIRAgel扣带治疗视网膜脱离的患者中已报告了该扣带的长期并发症。所有眼科医生都需要认识到这些严重并发症的临床特征，以及使用MIRAgel扣带后并发症的临床过程与硅胶扣带的临床过程有何不同。
病例报告及文献综述。
MIRAgel扣带放置5年或更长时间可能会严重恶化，导致出现不良症状，偶尔还会引发眼内并发症。这种恶化与MIRAgel扣带中水凝胶材料的微观结构变化有关。
对于使用MIRAgel扣带的患者，需要进行长期随访，并且在适当时应预防性地取出扣带。视网膜脱离手术后数年，如果患者出现严重的眼球运动障碍和/或眼外有肿瘤样肿块，其原因可能是MIRAgel扣带肿胀。
