From: Intrusion of episcleral buckles: report of two cases and brief review
Cases | Age (at buckling time) | Details of scleral buckling procedure | Interval time (years)a | Intruded element | Presentation | Visual acuityb | Management | Follow up duration (months) | Outcome |
---|---|---|---|---|---|---|---|---|---|
1. Nguyen et al. [1] | 47 | Encircling band (metal clips was used to hold the ends of band)ā+āsegmental sponge | 10 | Band and metal clip | Decreased VA | 20/400 | Observation | 16 | Progressed (the band was removal) |
2. Birgul et al. [9] | 77 | Encircling bandā+ācryopexy | 4 | Encircling band | Visual field defect | 20/50 | Observation | Not specified (loss) | Progressed |
3. ĆnlĆ¼ et al. [3] | 40 | Encircling bandā+āsegmental radial sponge +cryopexy at horseshoe tearā+ādrainage leading to incarceration of retina in drainage site; treated with additional cryopexy, radial sponge, pars plana vitrectomy and silicone oil tamponade | 0.25 | Segmental sponge | Incidental finding during routine follow-up | Not specified | Cutting of encircling band | 36 | Stable |
4. Shetty et al. [12] | 17 | Encircling band +segmental tire | 14 | Encircling band | Vitreous haemorrhage (from neovascularization over the buckle) | 20/40 | Buckle removal +cutting of bandc | 3 | Stable |
5. Deramo et al. [6] | 33 | Encircling bandā+āsegmental spongeā+āPars plana deep vitrectomy | 1.5 | Segmental sponge | Decreased VAā+āhypotony | 4/200 | Removal | 8 | Stable |
6. Gray Arambura et al. [13] | 65 | First surgery: Segmental spongeā+ādiathermy Second surgery: adding encircling buckleā+ādiathermy | 19 | Encircling buckle | Vitreous haemorrhage | Not specified | Vitrectomy | 6 | Stable |
7. Liang et al. [11] | 37 | Segmental spongeā+ācryopexyā+ādrainage | 3 | Segmental sponge | Metamorphopsia and recurrent vitreous haemorrhage | 20/20 | Observation | 6 | NA |
8. Shami et al. [8] | 63 | Encircling sponge | 14 | Encircling sponge (intruded at two sites) | Decreased VA | 20/200 | Observation | 9 | Stable |
9. Gu et al. [10] | 62 | Encircling bandā+ādrainageā+āDacron suture used to close the drainage site | 15 | Encircling band and Dacron knot | Decreased VA, vitreous haemorrhage, hyphema, and elevated IOP (in an aphakic myopic patient) | Light perception | Removal of Dacron knot and observation of intruded band | Not specified | Not specified |
10. Mitra et al. [7] | Not specified | Pars plana deep vitrectomy combined with encircling band, followed by revisional vitrectomy for retina redetachment | Not specified | Encircling band | Incidental finding | 6/24 | Observation | Not specified | Not specified |
11. Zarei et al. (current study) | 19 | Encircling band and tire with a segmental spongeā+ādrainageā+ācryopexyā+āsuturing and cryopexy of drainage site | 29 | Segmental sponge | Recurrent vitreous haemorrhage | 20/200 | Barrier laser | 16 | Stable |
12. Zarei et al. (current study) | 16 | Pars plana deep vitrectomy combined with encircling bandā+āendolaser photocoagulationā+āpostoperative external laser photocoagulation | 10 | Encircling band | Incidental finding | 20/28 | Barrier laserā+āsegmental removal of band | 14 | Stable |