Management of complex retinal detachment from intraocular invasion of MIRAgel-a case report

Ming-Chieh Hsieh; Yan-Ting Chen; San-Ni Chen

doi:10.1016/j.ajoc.2021.101103

Management of complex retinal detachment from intraocular invasion of MIRAgel-a case report

Am J Ophthalmol Case Rep. 2021 May 14:23:101103. doi: 10.1016/j.ajoc.2021.101103. eCollection 2021 Sep.

Authors

Ming-Chieh Hsieh¹, Yan-Ting Chen^{1

2

3}, San-Ni Chen^{1

4

5}

Affiliations

¹ Department of Ophthalmology, Changhua Christian Hospital, Changhua, Taiwan.
² Institute of Clinical Medicine, National Yang-Ming University, Taipei, Taiwan.
³ Department of Optometry, Central Taiwan University of Science and Technology, Taichung, Taiwan.
⁴ College of Medicine, Chung-Shan Medical University, Taichung, Taiwan.
⁵ Department of Optometry, College of Nursing and Health Sciences, Da-Yeh University, Changhua, Taiwan.

Abstract

Purpose: To retrospectively report a case of complex retinal detachment secondary to an intraocular episcleral hydrogel explant (MIRAgel, MIRA Inc., Waltham, MA, USA) invasion.

Observations: The severe vitreous inflammation, shifting nature of the subretinal fluid, and absence of proliferative vitreopathy 2 months following multiple surgeries for removal of fragmented MIRA gel in the present case made the diagnosis of complex retinal detachment. With the assistance of the fragmatome and Perfluorocarbon, the subretinal MIRA gel, and turbid, yellowish subretinal fluid were removed successfully. The retina was re-attached without recurrence.

Conclusions and importance: By using the pars plana ultrasonic fragmatome, the intraocular MIRAgel was able to be removed while maintaining the integrity of the retina and globe.

Keywords: Complication; Episcleral hydrogel explant; Intraocular invasion; MIRAgel; Retinal detachment; Surgical technique.

Publication types

Case Reports