Orbital cellulitis following silicone-sponge scleral buckles

Arie Y Nemet, Joseph R Ferencz, Ori Segal, Amit Meshi Department of Ophthalmology, Meir Medical Center, Kfar Saba, Israel Background: Acute or chronic infection of the scleral explant is rare. We report seven cases of scleral explant infections that caused orbital cellulitis. Materials and methods:...

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Autores principales: Nemet AY, Ferencz JR, Segal O, Meshi A
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Publicado: Dove Medical Press 2013
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spelling oai:doaj.org-article:8ca76cc996ab4cfc867e4d3f45577d992021-12-02T05:55:43ZOrbital cellulitis following silicone-sponge scleral buckles1177-54671177-5483https://doaj.org/article/8ca76cc996ab4cfc867e4d3f45577d992013-10-01T00:00:00Zhttp://www.dovepress.com/orbital-cellulitis-following-silicone-sponge-scleral-buckles-a14847https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Arie Y Nemet, Joseph R Ferencz, Ori Segal, Amit Meshi Department of Ophthalmology, Meir Medical Center, Kfar Saba, Israel Background: Acute or chronic infection of the scleral explant is rare. We report seven cases of scleral explant infections that caused orbital cellulitis. Materials and methods: This was a retrospective chart review of oculoplastics at oculoplastics and vitreo-retinal units in a secondary referral hospital. All subjects had orbital cellulitis secondary to scleral buckle in the range of January 1990 to March 2010. Demographics, imaging studies, and pathology specimens were reviewed. Results: A total of 841 silicone-sponge scleral buckle implants for rhegmatogenous retinal detachment were performed. Forty were extracted (4.75%; annual rate of 1.9 cases). Seven (0.83%) had orbital cellulitis. The mean time from implantation to presentation was 5.7 years. There was bacterial growth in all specimens, with Staphylococcus aureus in four. Conclusions: Patients who are operated on with silicone-sponge scleral buckling for rhegmatogenous retinal detachment sometimes require removal of the implant because of infection. However, the infection rate is low. Patients should be followed in the long term for possible complications. Keywords: scleral explant infection, scleral buckle, orbital cellulitis, rhegmatogenous retinal detachmentNemet AYFerencz JRSegal OMeshi ADove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2013, Iss default, Pp 2147-2152 (2013)
institution DOAJ
collection DOAJ
language EN
topic Ophthalmology
RE1-994
spellingShingle Ophthalmology
RE1-994
Nemet AY
Ferencz JR
Segal O
Meshi A
Orbital cellulitis following silicone-sponge scleral buckles
description Arie Y Nemet, Joseph R Ferencz, Ori Segal, Amit Meshi Department of Ophthalmology, Meir Medical Center, Kfar Saba, Israel Background: Acute or chronic infection of the scleral explant is rare. We report seven cases of scleral explant infections that caused orbital cellulitis. Materials and methods: This was a retrospective chart review of oculoplastics at oculoplastics and vitreo-retinal units in a secondary referral hospital. All subjects had orbital cellulitis secondary to scleral buckle in the range of January 1990 to March 2010. Demographics, imaging studies, and pathology specimens were reviewed. Results: A total of 841 silicone-sponge scleral buckle implants for rhegmatogenous retinal detachment were performed. Forty were extracted (4.75%; annual rate of 1.9 cases). Seven (0.83%) had orbital cellulitis. The mean time from implantation to presentation was 5.7 years. There was bacterial growth in all specimens, with Staphylococcus aureus in four. Conclusions: Patients who are operated on with silicone-sponge scleral buckling for rhegmatogenous retinal detachment sometimes require removal of the implant because of infection. However, the infection rate is low. Patients should be followed in the long term for possible complications. Keywords: scleral explant infection, scleral buckle, orbital cellulitis, rhegmatogenous retinal detachment
format article
author Nemet AY
Ferencz JR
Segal O
Meshi A
author_facet Nemet AY
Ferencz JR
Segal O
Meshi A
author_sort Nemet AY
title Orbital cellulitis following silicone-sponge scleral buckles
title_short Orbital cellulitis following silicone-sponge scleral buckles
title_full Orbital cellulitis following silicone-sponge scleral buckles
title_fullStr Orbital cellulitis following silicone-sponge scleral buckles
title_full_unstemmed Orbital cellulitis following silicone-sponge scleral buckles
title_sort orbital cellulitis following silicone-sponge scleral buckles
publisher Dove Medical Press
publishDate 2013
url https://doaj.org/article/8ca76cc996ab4cfc867e4d3f45577d99
work_keys_str_mv AT nemetay orbitalcellulitisfollowingsiliconespongescleralbuckles
AT ferenczjr orbitalcellulitisfollowingsiliconespongescleralbuckles
AT segalo orbitalcellulitisfollowingsiliconespongescleralbuckles
AT meshia orbitalcellulitisfollowingsiliconespongescleralbuckles
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