A simple way to remove miragel explants after long-term inflammation and extrusion

Retin Cases Brief Rep. 2009 Winter;3(1):74-6. doi: 10.1097/ICB.0b013e318158de8e.

Abstract

Purpose: To report three cases of exposure of Miragel (Medical Instruments Research Associates, Waltham, MA) implants many years after buckling surgery and a new surgical technique to avoid significant fragmentation and achieve safe and effective removal of the exposed implants.

Methods: Retrospective interventional series of three cases.

Results: Many years after the initial retinal detachment surgery, Miragel explants can be exposed, causing inflammation. Their removal can be difficult due to increased fragility.

Conclusion: We have developed a simple and safe technique to remove extruded Miragel explants, reducing the risk of fragmentation.