Abstract
There are several studies in the American literature on the incidence and causes of retinal redetachment following removal of explants. This is, to our knowledge, the first such study from Britain and differs in its findings from the American experience. The reason for removal of explants, the time of removal after initial detachment surgery and the consequences of removal were reviewed for the 10-year period from 1980 to 1990. During this period 1898 retinal detachment operations were performed at this centre, with an explant removal rate of 3.2% (61 eyes). Extrusion of the element was the cause in 74%. Of these 8% subsequently suffered a redetachment. In two eyes no retinal break was identified at initial surgery. Both of these suffered a redetachment following removal of the explant. Contrary to previous reports, redetachment was not related to short periods of explant or to infection of the explant. This study suggests that explant removal is a safe procedure. However, there is a significant risk of redetachment after explant removal if no breaks are identified at the time of initial surgery.
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Lindsey P, Pierce L, Welch R : Removal of scleral explant elements. Arch Ophthalmol 1983, 101: 570–3.
Hilton G and Wallyn R : The removal of scleral buckles. Arch Ophthalmol 1978, 96: 2061–3.
Schwartz PL and Pruett RC : Factors influencing retinal redetachment after removal of explant elements. Arch Ophthalmol 1977, 95: 804–7.
Wiznia RA : Removal of solid silicone rubber explants after retinal detachment surgery. Am J Ophthalmol 1983, 95: 495–7.
Russo CE and Ruiz RS : Silicone sponge rejection: early and late complications in retinal detachment surgery. Arch Ophthalmol 1971, 85: 647–50.
Fison P and Chignell A : Diplopia after retinal detachment surgery. Br J Ophthalmol 1987, 71: 521–5.
Pischel DK (ed): Retinal Detachment. A manual of the American Academy of Ophthalmology and Otolaryngology. Omaha: Douglas Publishing Co., 1965: 9.
Hitchings RA, Levy IS, Chignell AH : Acute infection after retinal detachment surgery. Br J Ophthalmol 1974, 58: 588–90.
Lean JS and Chignell AH : Infection following retinal detachment surgery. Br J Ophthalmol 1977, 61: 593–4.
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Deutsch, J., Aggarwal, R. & Eagling, E. Removal of scleral explant elements: A 10-year retrospective study. Eye 6, 570–573 (1992). https://doi.org/10.1038/eye.1992.124
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DOI: https://doi.org/10.1038/eye.1992.124
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