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Scleral Abscess: A Complication of Retinal Detatchment Buckling Procedures

Scleral Abscess: A Complication of Retinal Detatchment Buckling Procedures Abstract Introduction This paper describes eight cases of scleral abscess that have occurred following silicone scleral buckling procedures for retinal detachment. Analysis of the cases indicates that scleral abscess has a characteristic symptomatology by which it can be distinguished from the aseptic uveitis, seen on occasion after lengthy retinal detachment procedures. The suppressive steroid therapy with which it is customary to treat postoperative uveitis will be useless in the presence of scleral abscess for which specific antibiotic therapy is needed. Occurrence. —Scleral abscess has occurred in eight out of 231 scleral buckling procedures for the repair of retinal detachment in the past two years. In 137 procedures, a silicone sponge cylinder was imbricated over full thickness sclera. In 94 procedures, grooved solid silicone implants were buried in half thickness scleral dissections. Five abscesses occurred with the silicone sponge material. Three followed use of solid silicone implants.Patients were operated on by References 1. Sanchez Bulnes, L.: The Treatment of Retinal Detachment With Radial Scleral Resections, Report to the Pan Pacific Surgical Conference, Honolulu, 1963. 2. Everett, W.G.; Scott, D.C.; and Sharrer, M.C.: Chronic Granuloma Following Scleral Buckling Procedures , Tr Amer Acad Ophthal Otolaryng ( (Sept-Oct) ) 614-631, 1962. 3. Lincoff, H.A.: Intractable Granuloma as a Complication of Polyethylene Tube Buckling Procedures , Arch Ophthal 65:201-207, 1960.Crossref 4. Lincoff, H.A., et al: The Effect of Succinylcholine on Intraocular Pressure , Amer J Ophthal 40:501-510, 1955. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Scleral Abscess: A Complication of Retinal Detatchment Buckling Procedures

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Publisher
American Medical Association
Copyright
Copyright © 1965 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1965.00970040643010
Publisher site
See Article on Publisher Site

Abstract

Abstract Introduction This paper describes eight cases of scleral abscess that have occurred following silicone scleral buckling procedures for retinal detachment. Analysis of the cases indicates that scleral abscess has a characteristic symptomatology by which it can be distinguished from the aseptic uveitis, seen on occasion after lengthy retinal detachment procedures. The suppressive steroid therapy with which it is customary to treat postoperative uveitis will be useless in the presence of scleral abscess for which specific antibiotic therapy is needed. Occurrence. —Scleral abscess has occurred in eight out of 231 scleral buckling procedures for the repair of retinal detachment in the past two years. In 137 procedures, a silicone sponge cylinder was imbricated over full thickness sclera. In 94 procedures, grooved solid silicone implants were buried in half thickness scleral dissections. Five abscesses occurred with the silicone sponge material. Three followed use of solid silicone implants.Patients were operated on by References 1. Sanchez Bulnes, L.: The Treatment of Retinal Detachment With Radial Scleral Resections, Report to the Pan Pacific Surgical Conference, Honolulu, 1963. 2. Everett, W.G.; Scott, D.C.; and Sharrer, M.C.: Chronic Granuloma Following Scleral Buckling Procedures , Tr Amer Acad Ophthal Otolaryng ( (Sept-Oct) ) 614-631, 1962. 3. Lincoff, H.A.: Intractable Granuloma as a Complication of Polyethylene Tube Buckling Procedures , Arch Ophthal 65:201-207, 1960.Crossref 4. Lincoff, H.A., et al: The Effect of Succinylcholine on Intraocular Pressure , Amer J Ophthal 40:501-510, 1955.

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Nov 1, 1965

References