Scleral and episcleral histological changes related to encircling explants in 20 eyes

François D'Hermies, Jean François Korobelnik, Dominique Chauvaud, Yves Pouliquen, Jean Marie Parel, Gilles Renard

Research output: Contribution to journalArticle

12 Scopus citations

Abstract

Purpose: To investigate scleral and episcleral histological alterations induced by encircling explants used in scleral buckling procedures. Methods: We performed a histopathological study of 20 enucleated eyes after failure of retinal detachment surgery including encircling scleral buckle. Results: Nonabsorbable materials were encapsulated and often gave rise to a limited scleral invagination. The inner capsular surface was regular in 10 silicone explants, it was partially covered with hydrogel fragments and a granulomatous foreign body giant cell reaction in 8 hydrogel explants. One Arruga thread was encased in fibrosis and a catgut circle showed no encapsulation. Other changes were mostly related to the long-standing retinal detachment: peripheral anterior synechiae, anterior uveal effusion, persistent retinal detachment, retinal gliosis, retinal atrophy, retinal breaks, and silicone oil droplets. Conclusion: All nonabsorbable explants underwent encapsulation and prompted scleral invagination. A granulomatous reaction accompanied hydrogel fragmentation. The long term fragmentation impact on implanted eyes remains unknown.

Original languageEnglish (US)
Pages (from-to)279-285
Number of pages7
JournalActa Ophthalmologica Scandinavica
Volume77
Issue number3
DOIs
StatePublished - Jun 1999

Keywords

  • Biocompatible materials
  • Retinal detachment
  • Scleral buckling

ASJC Scopus subject areas

  • Ophthalmology

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