Le Rouic Jean-François, Bettembourg Olivier, D'Hermies François, Azan Frédéric, Renard Gilles, Chauvaud Dominique
Department of Opthalmology, Hôtel-Dieu de Paris, France.
Retina. 2003 Oct;23(5):641-6. doi: 10.1097/00006982-200310000-00006.
To describe the indications for removal of Miragel episcleral buckles and to compare them with removed silicone sponges and solid silicone indentations.
Retrospective analysis of the charts of patients successfully treated for retinal detachment in whom the episcleral buckle was removed after surgery, with a minimal follow-up of 6 months.
In a series of 90 eyes of 90 patients, including 38 cases of Miragel elements, 25 cases of solid silicone, and 27 cases of silicone sponge removal, the duration of indentation before removal was significantly longer with Miragel (91.9 months) than with solid silicone (10.6 months) and silicone sponges (18.6 months). In eyes treated with Miragel elements, swelling of the material with progressive limitation of ocular motility and protrusion of the buckle beneath the eyelids indicated its removal in 34 (89.5%) eyes. Infection of the buckle and erosion of the conjunctiva with an exposed indentation were significantly more common with silicone buckles. Overall, scleral perforation occurred in four (4.4%) eyes, and retinal redetachment occurred in eight (8.8%) eyes.
Late swelling of Miragel buckling elements represents a common indication for buckle removal, significantly different from silicone indentations.
描述移除米拉吉尔巩膜扣带的适应证，并将其与移除的硅海绵和固体硅压陷进行比较。
对90例视网膜脱离手术成功且术后移除巩膜扣带的患者病历进行回顾性分析，随访时间至少6个月。
在90例患者的90只眼中，包括38例米拉吉尔材料、25例固体硅和27例硅海绵移除病例，米拉吉尔材料移除前的压陷持续时间（91.9个月）明显长于固体硅（10.6个月）和硅海绵（18.6个月）。在使用米拉吉尔材料治疗的眼中，材料肿胀伴眼球运动逐渐受限以及扣带在眼睑下突出表明34只眼（89.5%）需要移除。硅扣带发生扣带感染和结膜糜烂伴暴露压陷的情况明显更常见。总体而言，4只眼（4.4%）发生巩膜穿孔，8只眼（8.8%）发生视网膜再脱离。
米拉吉尔扣带材料的晚期肿胀是扣带移除的常见适应证，与硅压陷明显不同。
