| Utilizing a Previous Silicone Band Track in Recurred Retinal Detachment. |
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Yeseul Kim, Kyung Seek Choi |
1Department of Ophthalmology, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Korea.
2Department of Ophthalmology, Soonchunhyang University Seoul Hospital, Soonchunhyang University College of Medicine, Seoul, Korea. ckseek@schmc.ac.kr |
| 공막두르기술 재수술 시 기존 실리콘밴드 공간을 이용한 수술 방법 |
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김예슬1⋅최경식2 |
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순천향대학교 의과대학 부천병원 안과학교실1, 순천향대학교 의과대학 서울병원 안과학교실2 |
Correspondence:
Kyung Seek Choi,
Email: ckseek@schmc.ac.kr
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Received: 27 September 2018 • Revised: 30 November 2018 • Accepted: 19 June 2019 |
| 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 360° 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. |
| Key Words:
Conjunctival peritomy;Reoperation;Retinal detachment |
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