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Expansion of the MIRAgel Scleral Buckle With Findings Resembling Necrotizing Scleritis: A Case Report.
Cureus
November 2024
Department of Ophthalmology, Mie University Graduate School of Medicine, Tsu, JPN.
MIRAgel is a hydrogel buckle material that was widely used for scleral implantation surgery in the past. However, postoperative complications such as conjunctival hyperemia and impaired eye movements were reported due to postoperative expansion of the MIRAgel buckle. In addition, damage to the sclera due to hydrolysis of the MIRAgel buckle has been reported.
View Article and Find Full Text PDFSelf-retained, cryopreserved amniotic membrane for a scleral defect caused by mitomycin C: A case report.
Am J Ophthalmol Case Rep
December 2024
New York Eye and Ear Infirmary of Mount Sinai, New York, NY, USA.
Purpose: To report a case of scleral melting noted within weeks after symblepharon release and pterygium excision with peri-operative adjuvant topical Mitomycin C (MMC) that was salvaged with in-office cryopreserved membrane.
Observations: A 61-year-old Hispanic gentleman with history of pterygium excision many years prior underwent right nasal pterygium excision and symblepharon release using bare sclera technique followed by topical MMC 0.1 % for a week, 16 years ago.
A Severe Case of Infectious Necrotizing Anterior Scleritis Caused by after Vitreoretinal Surgery.
Case Rep Ophthalmol
September 2024
Department of Ophthalmology, Kindai University Faculty of Medicine, Osakasayama, Japan.
Introduction: This report describes a case of necrotizing scleritis caused by infection soon after vitreous surgery, which caused severe scleral melting and rapidly progressive necrosis that led to scleral perforation and bacterial endophthalmitis.
Case Presentation: The patient was an 86-year-old man with a history of type 2 diabetes mellitus who underwent pars plana vitrectomy (PPV) for vitreous hemorrhage in his right eye. On postoperative day 10, he complained of severe ocular pain and was found to have conjunctival edema and eyelid swelling, which was treated by topical and general systemic antibiotics.
Same-quadrant tube exchange and multiple-layer closure for recurrent tube erosion: Surgical technique description and preliminary results.
Am J Ophthalmol Case Rep
December 2024
Department of Ophthalmology and Visual Science, University of Chicago Medical Center, Chicago, IL, USA.
Purpose: This report describes a surgical approach involving a 5-layer closure performed for a patient with uveitic glaucoma who had an Ahmed Glaucoma Valve placed 12 years prior to presentation, then erosions which were revised 2 and 4 years ago. Additionally, the patient had a Descemet Stripping Endothelial Keratoplasty (DSEK) completed 4 years prior to presentation. The patient presented with a tube that was eroded and a DSEK that had failed.
View Article and Find Full Text PDFScleral melting decades after pterygium excision.
J Fr Ophtalmol
September 2024
Department of Ophthalmology, Shaare Zedek Medical Center, Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel.
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