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Utilizing a Previous Silicone Band Track in Recurred Retinal Detachment
공막두르기술 재수술 시 기존 실리콘밴드 공간을 이용한 수술 방법
JKOS 2019 Jul;60(7):696-700
Published online July 15, 2019;  https://doi.org/10.3341/jkos.2019.60.7.696
Copyright © 2019 The Korean Ophthalmological Society.
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Yeseul Kim, MD1, Kyung Seek Choi, MD2
김예슬1⋅최경식2

Department of Ophthalmology, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine1, Bucheon, Korea
Department of Ophthalmology, Soonchunhyang University Seoul Hospital, Soonchunhyang University College of Medicine2, Seoul, Korea
순천향대학교 의과대학 부천병원 안과학교실1, 순천향대학교 의과대학 서울병원 안과학교실2
Received September 27, 2018; Revised November 30, 2018; Accepted June 19, 2019.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
 Abstract
Purpose: We report a case of utilizing a previous silicone band track in the reoperation of scleral encircling.
Case summary: An 8-year-old male presented with rhegmatogenous retinal detachment in the right eye. Five days after this diagnosis, he received scleral buckling surgery and cryopexy to seal the retinal tear. One month after surgery, a fundus examination showed subretinal fluid at the inferior site of the scleral buckle. He underwent scleral encircling surgery and a cryopexy procedure. The patient has had an uneventful postoperative course, and the retina has remained attached over a follow-up period of 9 months. However, exotropia and hypotropia developed in the right eye. Diagnosis of restrictive strabismus due to tissue adhesion around the silicone band was made. The encircling band was therefore removed and laser photocoagulation was performed 360o around the retina. Twenty-four hours after surgery, a fundus examination showed subretinal fluid. He received 360° scleral encircling surgery not using the 360° conjunctival peritomy. After confirming a previous encircling tract using #0-0 polydioxanone as a guide, #5-0 Nylon was tied to the end of the guide and inserted through the encircling tract with the end sutured with the silicone band. The silicone band was inserted into the encircling tract by pulling the #5-0 Nylon as a guide. Ophthalmoscopy revealed an attached retina with indentation of the scleral buckle at 360°.
Conclusions: For reoperation in patients who previously underwent scleral encircling surgery, using the previous scleral encircling tract may be effective in cases with conjunctival and tissue adhesion.
Keywords : Conjunctival peritomy, Reoperation, Retinal detachment

 

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