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P. Rubsamen, L. Halperin, B. Taney, R. Glatzer; Clinical Features and Surgical Outcomes in Extruding Myragel Scleral Buckles . Invest. Ophthalmol. Vis. Sci. 2005;46(13):5515.
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Purpose:To review the clinical features and surgical outcomes of extruding Myragel exoplants requiring surgical removal. Methods: A retrospective review of the medical records of patients undergoing surgical removal of extruding Myragel scleral buckles Results: Patients were found to have complaints of diplopia, pain, foreign body sensation and in some cases evidence of massive orbital mass effect from enlarging Myragel exoplants. Surgery was remarkable for a buckling element, which had undergone degradation over time resulting in a soft, difficult to remove element. Surgery was complicated in 2 cases by rupture of atrophic sclera, but without loss of vision. All patients had marked resolution of the mass effect, improvement in motility and decrease in pain. Conclusions: Extruding Myragel exoplants can result in severe orbital mass effect with secondary symptoms of pain and motility disturbance. Surgical removal can be complicated but results in marked improvement in pstient symptoms.
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