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Ophthalmic Surg Lasers Imaging Retina 2016 12;47(12):1147-1150

MIRAgel (MIRA, Waltham, MA) scleral buckle material was initially developed in the 1980s as an alternative to more traditional silicone buckles. Long-term follow-up has demonstrated complications necessitating removal due to unanticipated hydrolytic degeneration of the exoplant. Material expansion and fragmentation have led to pain, limited extraocular motility, ocular masses, infection, and eventual extrusion. Read More

Med Hypothesis Discov Innov Ophthalmol 2013 ;2(1):14-9

Department of Ophthalmology, Kasr El Aini Hospital, Cairo University, Cairo, Egypt.

The purpose would be to describe and evaluate a novel technique of episcleral macular buckling in postvitrectomy recurrent macular hole retinal detachment in highly myopic eyes. A 7mm silicone sponge strengthened with a U-shaped 0.5mm orthodontics stainless steel wire fed along its length and hand-bent to produce L-shaped buckle of appropriate shape and length, is used. Read More

J AAPOS 2011 Aug;15(4):331-3

St. Paul's Eye Unit, Royal Liverpool University Hospital, Liverpool, United Kingdom.

Purpose: Scleral buckling for retinal detachment is a well-reported cause of secondary strabismus. We analyzed the effects on motility of removal of the exoplant alone to determine whether this is warranted as a separate step in the surgical management of these patients.

Methods: A retrospective case series of patients who underwent scleral exoplant removal due to symptomatic strabismus development following retinal detachment repair from 2007 to 2009 was conducted. Read More

Indian J Ophthalmol 2011 May-Jun;59(3):238-9

Ophthalmic Consultants of Boston, 50 Staniford Street, Suite 600, Boston, MA, USA.

Sixteen years after scleral buckle surgery with a hydrogel episcleral exoplant, a 43-year-old woman presented with progressive binocular diplopia, ptosis, and an expanding mass in her upper eyelid. She underwent surgical removal of the hydrogel exoplant through an anterior approach. The exoplant proved to be friable, fragmented, and encapsulated in a fibrous tissue; the exoplant was removed in its entirety. Read More

Retin Cases Brief Rep 2011 ;5(1):16-7

From the Department of Ophthalmology, Baylor College of Medicine, Cullen Eye Institute, Houston, Texas.

Purpose: The purpose of this study was to describe a case of long-term observation without topical antibiotic prophylaxis for asymptomatic scleral exoplant exposure.

Methods: The medical records of a patient with long-term observation for asymptomatic scleral exoplant exposure were reviewed.

Results: No complications or clinical changes were noted throughout a 36-month course of observation for exoplant exposurei. Read More