Authors
Neroeva N.V., Zakharova G.Yu., Utkina O.A., Vaganova E.E.
Helmholtz National Research Medical Center for Eye Diseases of the Ministry of Health of the Russian Federation, Moscow
Abstract
Background: Among the complications of episcleral buckling, rejection of buckling materials and the development of granulation polyps of the conjunctiva are particularly common. The development of polyps after scleroplastic surgery occurs due to chronic conjunctival trauma from protruding elements of the buckling material.
Objective: To analyze a clinical case of multiple granulation polyps developing after circular and localized episcleral buckling in a patient with rhegmatogenous retinal detachment.
Materials and Methods: A prospective analysis of the data, clinical presentation, and surgical outcomes of a patient who presented to the Center was conducted.
Conclusion: Granulation polyps are a late complication of retinal detachment, causing significant discomfort to patients. The development of this complication is associated with chronic trauma to the conjunctiva by protruding edges of the filling material or rough scleral sutures, which requires the surgeon to carefully and adequately suturing the filling material during surgery.
Keywords: rhegmatogenous retinal detachment, episcleral buckling, granulation polyp.
References
1. Glinchuk N.Ya. Tactics of managing patients with silicone tamponade in severe forms of retinal detachment: dissertation ... candidate of medical sciences: 14.00.08 / N.Ya. Glinchuk - Moscow, 2006. - 480 p. 21 ill. (in Russ.)
2. Zakharov V. D. Retinal detachment surgery: diss. … Doctor of Medical Sciences / V. D. Zakharov. – Moscow, 1985. – 390 p. (in Russ.)
3. Libman, E.S., Prusak R.B. Clinical and labor prognosis of persons with peripheral vitreochorioretinal dystrophies in myopia. Actual issues of social ophthalmology: Collection of scientific papers. – Moscow, 1988. – P. 98-105. (in Russ.)
4. Smetankin I.G. Remote results of episcleral buckling in surgery for severe primary rhegmatogenous retinal detachment (a case report). Point of view. East - West. - 2015 - No. 2. - P. 75. (in Russ.)
5. Dhermy P, Desjardins L, Limon S, et. al. Le nodule granulomateuxallergique de la conjonctive [Allergic granulomatous nodule of the conjunctiva]. J FrOphtalmol. – 1984. – Vol. 7, №6-7. – Р. 451-456.
6. Kim, Y.J., Kim, J., Choung, H. et al. Conjunctival granuloma with necrosis associated with exposed suture in upper double lid masquerading as ocular surface squamous neoplasia: a case report. BMC Ophthalmol. – 2017. – Vol. 17, №55.
7. Saakyan S.V., Zhiltsova M.G., Borodin Yu.I., Tsygankov A.Yu. Complex clinical and cytological diagnosis of eye adnexa epithelial tumors. Russian Ophthalmological Journal. – 2024. – Vol. 17, № 2. – P. 68-73. (in Russ.)
8. Filatova I.A., Shemetov S.A., Mohammad I.M., Kondrateva Yu.P. Long-term Experience of Using of Polytetrafluoroethylene Orbital Implants. Ophthalmology in Russia. . – 2024. – Vol. 21, № 1. – P. 91–99. (in Russ.)
