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A Complication of Retinal Detatchment Buckling Procedures

HARVEY A. LINCOFF, MD; JOHN M. McLEAN, MD; HUGO NANO, MD

Arch Ophthalmol. 1965;74(5):641-648.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Introduction

This paper describes eight cases of scleral abscess that have occurred following silicone scleral buckling procedures for retinal detachment. Analysis of the cases indicates that scleral abscess has a characteristic symptomatology by which it can be distinguished from the aseptic uveitis, seen on occasion after lengthy retinal detachment procedures. The suppressive steroid therapy with which it is customary to treat postoperative uveitis will be useless in the presence of scleral abscess for which specific antibiotic therapy is needed.

Occurrence.

—Scleral abscess has occurred in eight out of 231 scleral buckling procedures for the repair of retinal detachment in the past two years. In 137 procedures, a silicone sponge cylinder was imbricated over full thickness sclera. In 94 procedures, grooved solid silicone implants were buried in half thickness scleral dissections. Five abscesses occurred with the silicone sponge material. Three followed use of solid silicone implants.

Patients were operated on by . . . [Full Text PDF of this Article]

Author Affiliations
New York

From the Department of Surgery (Ophthalmology) of the New York Hospital—Cornell Medical Center.

Footnotes
Submitted for publication April 19, 1965.

Read before the Section on Ophthalmology at the 114th Annual Meeting of the American Medical Association in New York, June 20-24. Awarded the Knapp Fund Prize for 1965, together with part II.

Part II, The Experimental Production in Animals, may be found on page 665, this issue.

Reprint requests to 440 East 57th St., New York, NY 10022 (Dr. Lincoff).

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