2014 Mears ea Endophthalmitis secondary to globe penetration from hydrogel scleral buckle, Int J Ophthalmol. Vol.7, No.3, Jun.18, 2014

In het artikel van Mears ea wordt een geval beschreven van endolphalmitis, een interne oogontsteking, als gevolg van intrusie van een Miragel plombe in de oogbol.

I am Dr Katrina A. Mears, from the Department of Ophthalmology and Visual Sciences, University of Iowa Carver College of Medicine, 200 Hawkins Drive, Iowa City, Iowa, USA. I wish to present a case of endophthalmitis secondary to globe penetration from a hydrogel scleral buckle which, to the best of our knowledge, is the first reported case in the literature. Hydrogel scleral buckles (exoplants), including MIRAgel (MIRA, Waltham, MA), are composed of hydrophilic polymers [1]. Due to its unexpected instability and ensuing complications due to this uncontrolled expansion, however, it was removed from the market in 1995.
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To the best of our knowledge we are the first to report a case of endophthalmitis due to penetration of a hydrogel implant into the globe [2]. Removal of these types of implants has a variable prognosis. Reported complications include pain, discomfort caused by expansion and erosion of the buckle into the globe, hydrolysis of the buckle producing external inflammation mimicking cellulitis, migration and extrusion of the buckle, ptosis, intraocular erosion and restriction of extraocular motility causing strabismus and diplopia [2-5].