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November 1965

Scleral Abscess: A Complication of Retinal Detatchment Buckling Procedures

Author Affiliations

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

Arch Ophthalmol. 1965;74(5):641-648. doi:10.1001/archopht.1965.00970040643010

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

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