Late-onset progressive strabismus associated with a hydrogel scleral buckle

S c t t 1 p a m o m s a hydrophilic implant for scleral buckling was develped in 1980. Advantages include softness and elasicity, no dead spaces, ability to gradually absorb and elease antibiotics, and stimulating production of a brous capsule around the implant. Short-term follow p studies in rabbits showed no clinical or histologic omplications. Long-term complications of the hyrogel scleral buckle have emerged in the last 10 ears. These included fragmentation, subconjuncival bulging, intraocular erosion, migration, and retriction of extraocular movement. We recently enountered a patient with progressive restrictive straismus beginning 8 years after retinal detachment epair with a MIRAgel (hydrogel; MIRA, Uxbridge, A) scleral buckle. Worsening complaints of diplopia nd discomfort led to strabismus surgery. Untreatable etinal detachment resulted in enucleation.