J Korean Ophthalmol Soc > Volume 58(3); 2017 > Article
Journal of the Korean Ophthalmological Society 2017;58(3):347-351.
DOI: https://doi.org/10.3341/jkos.2017.58.3.347    Published online March 15, 2017.
A Case of Silicone Band Migration Following an Encircling Procedure.
Mi Jin Kim, Jang Won Heo
Department of Ophthalmology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea. jangwonheo@gmail.com
공막두르기 후 발생한 실리콘밴드의 이동 1예
김미진⋅허장원
서울대학교 의과대학 서울대학교병원 안과학교실
Correspondence:  Jang Won Heo,
Email: jangwonheo@gmail.com
Received: 27 October 2016   • Revised: 29 November 2016   • Accepted: 17 February 2017
Abstract
PURPOSE
In the present study, a case of silicone band migration following an encircling procedure was reported. CASE SUMMARY: A seven-year-old male was admitted to our hospital after undergoing primary corneal suture and cataract extraction for traumatic corneal laceration and cataract in the left eye at another hospital. The cornea was well sutured, but due to vitreous bleeding and retinal detachment, we performed vitrectomy and silicone oil injection in combination with scleral buckling. The retina was well attached for 7 months following the procedure but the silicone oil was removed due to uncontrolled intraocular pressure elevation. Ten days later, the patient was readmitted for blurred vision in the left eye and vitreous bleeding as well as superotemporal retinal detachment were observed. During vitrectomy, we could not locate the indentation caused by scleral buckle, therefore extraocular area was closely examined. The scleral fixation sutures were well maintained in all 4 quadrants but the silicone band was not observed within the sutures. The band was located anterior to the fixation sutures and was displaced anterior to the medial rectus muscle insertion. The encircling silicone band was removed. The encircling procedure was again performed with a new silicone band combined with vitrectomy and silicone oil injection. Retinal attachment has been maintained and the silicone band well anchored since the operation. CONCLUSIONS: Anterior migration of the silicone band through the outer layer of the sclera or one or more tendons of recti muscles is a rare but potential complication of scleral buckling. Hence, clinicians must note the possibility of this complication when retinal detachment recurs and the encircling buckle is not observed.
Key Words: Anterior migration;Encircling buckle;Retinal detachment;Retinal surgery;Silicone band


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