Kotoulas Andreas, Symeonidis Chrysanthos, Kalantzis George, Droutsas Konstantinos, Koutsandrea Chryssanthi, Georgalas Ilias
Department of Ophthalmology, University of Athens , Athens , Greece and.
Orbit. 2014 Aug;33(4):308-10. doi: 10.3109/01676830.2014.904373. Epub 2014 May 15.
We present an unusual case of anterior migration of a solid silicone encircling band 9 years after scleral buckling surgery.
An 83-year old woman presented with acute onset of pain and discharge in her left eye. She had undergone cataract surgery complicated by endophthalmitis and managed with pars plana vitrectomy nine years earlier.
The patient was treated with transection and removal of the extruding encircling band. Pain ceased within two days. Two weeks postoperatively, the conjunctiva was well adapted without any discharge, ocular motility was as preoperatively.
Anterior migration of an encircling band through all four rectus muscle insertions is a very uncommon late complication following scleral buckling surgery. The remarkably good preservation of ocular motility in our case can be attributed to the slow advancement of the encircling band over nine years, which allowed a gradual reattachment of the rectus muscle insertions to the sclera.
我们报告一例巩膜扣带术后9年固体硅胶环扎带向前移位的罕见病例。
一名83岁女性因左眼突发疼痛和分泌物就诊。9年前她曾接受白内障手术，并发眼内炎，并行玻璃体切割术治疗。
患者接受了环扎带切断并取出术。术后两天内疼痛消失。术后两周，结膜愈合良好，无分泌物，眼球运动与术前相同。
环扎带通过四条直肌附着点向前移位是巩膜扣带术后一种非常罕见的晚期并发症。在我们的病例中，眼球运动显著良好的保存可归因于环扎带在9年中缓慢前移，这使得直肌附着点逐渐重新附着于巩膜。
