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- W1977702396 abstract "A33-YEAR-OLD MAN had sudden onset of decreased vision and aredspotontheright eye. His ocular historyincludedpenetratinginjurytothe right eye while working on a heavy metal punch press 12 years previously. At the time of injury, the patientunderwentsclerallacerationrepair with pars plana vitrectomy, removal of intraocular foreign body, and scleral buckling procedure. The 6-mmlacerationwasclosedwith4-0 and 5-0 Dacron sutures (Alcon Surgical Inc, Fort Worth, Tex) and coveredwitha5-mmradialscleralsponge and overlying encircling 240 band. On current examination, visual acuitywashandmotionsintheright eye. Slitlamp examination showed a large subconjunctival hemorrhage with conjunctival chemosis. Funduscopic examination demonstrated a densevitreoushemorrhage.B-scanultrasonography confirmed the vitreous hemorrhage with no evidence of aretinaldetachment.Observationwas recommended, with minimal activity and the head of the bed elevated during sleeping. The hemorrhage cleared during the next few weeks to disclose evidence of the buckling elements withtheintrudingscleralDacronsuture (Figure 1). The options, consisting of observation and surgical repair, were discussed with the patient. The patient underwent preoperative laser photocoagulation surrounding the radial element and intruding sutures. Approximately 2 weekslater,heunderwentglobeexploration with removal of the intrudingscleralsutures,theradialelement, and the encircling band. Becauseofthelargesizeofthescleral defect, a scleral patch graft was required to maintain globe stability and normal intraocular pressure. Postoperatively,thepatientdid well and had visual acuity of 20/40 with no evidence of recurrent vitreous hemorrhage or detachment (Figure 2)." @default.
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- W1977702396 date "2004-08-01" @default.
- W1977702396 modified "2023-09-27" @default.
- W1977702396 title "Intruding Scleral Sutures 12 Years After Primary Repair" @default.
- W1977702396 cites W1974178330 @default.
- W1977702396 cites W1996662756 @default.
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- W1977702396 doi "https://doi.org/10.1001/archopht.122.8.1238" @default.
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