Radiologic findings in infected and noninfected scleral buckles. Eur J Ophthalmol 2007;17(5):804-11
Date
10/13/2007Pubmed ID
17932859DOI
10.1177/112067210701700519Scopus ID
2-s2.0-38049002008 (requires institutional sign-in at Scopus site) 4 CitationsAbstract
PURPOSE: To present the radiologic findings in scleral buckle infections and in the early postoperative period after scleral buckling.
METHODS: Retrospective multicenter orbital computed tomography (CT) study of 14 patients and brain magnetic resonance (MR) in one patient with scleral buckle infections, some with the referring diagnosis of endophthalmitis, proliferative vitreoretinopathy, orbital cellulitis, or unilateral headache. The control population consisted of early postoperative prospective CT study of 38 consecutive patients with scleral buckle without clinical infection.
RESULTS: Diffuse scleral thickening and preseptal soft tissue swelling were noted in acute scleral buckle infections. Scleral thickening decreased radiologically following prompt antibiotic therapy in five patients with acute infections. Silicone sponge had low attenuation without infection and high attenuation with infection. In chronically infected scleral buckle, the sclera was thickened around the buckle, with scleral melt under the buckle. MR showed increased signal intensity in the preseptal region in one patient with chronic fungal infection. In the controls, two had thickening of the sclera without soft tissue swelling.
CONCLUSIONS: CT or MR can assist in the early diagnosis and management of scleral buckle infections.
Author List
Mansour AM, Han DP, Kim JE, Uwaydat SH, Sibai A, Medawar WA, Li HK, Rjeily JA, Salti HI, Bashshur Z, Hourani MMESH terms used to index this publication - Major topics in bold
AdolescentAdult
Aged
Aged, 80 and over
Diagnosis, Differential
Diagnostic Imaging
Endophthalmitis
Eye Infections, Bacterial
Female
Follow-Up Studies
Humans
Magnetic Resonance Imaging
Male
Middle Aged
Orbital Cellulitis
Prosthesis-Related Infections
Retrospective Studies
Scleral Buckling
Tomography, X-Ray Computed
Vitreoretinopathy, Proliferative
