A case of extrusion of silicone buckle with erosion of superior rectus muscle following encircling surgery Taiga Kinoshita 1 , Toshiya Sakurai 1 , Hisashi Takenaka 1 , Tomiya Mano 1 , Takatoshi Maeno 2 1Tane Memorial Eye Hosp 2Dept of Ophthalmol,Osaka Med Coll pp.1321-1324
Published Date 2005/8/15
DOI https://doi.org/10.11477/mf.1410100104
  • Abstract
  • Look Inside

A 69-year-old male received surgery for retinal detachment in his right eye. A giant horseshoe tear was located in the superior sector. After vitrectomy,the vitreous was replaced by air. The tear was treated by cryocoagulation. A 6 mm-wide silicone buckle was sutured to the sclera from 10 to 4 o'clock position,followed by encircling with a 2.5 mm-wide silicone rod. The retina became reattached with intraocular pressure maintained below 13 mmHg. Six years later,the encircling silicone rod and buckle extruded spontaneously. The superior rectus could not be identified in removal surgery. Magnetic resonance imaging(MRI)showed the superior rectus to be adherent to the sclera. It appeared that anterior displacement of silicone buckle resulted in extrusion after eroding the muscle.

Copyright © 2005, Igaku-Shoin Ltd. All rights reserved.


電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院