INNOVATIVE MULTIPLANAR RECONSTRUCTION AND VOLUME-RENDERED COMPUTED TOMOGRAPHY IN THE ASSESSMENT OF SCLERAL BUCKLE–RELATED COMPLICATIONS
| Autor: | Prerna Garg, Varun Gogia, Pradeep Venkatesh, Shikha Gupta, Sanjay Sharma, Yograj Sharma |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
Male Prosthesis-Related Infections genetic structures medicine.medical_treatment Visual Acuity Computed tomography Ophthalmologic Surgical Procedures Scleral buckle Eye Infections Bacterial Young Adult Imaging Three-Dimensional Postoperative Complications Staphylococcus epidermidis medicine Humans Bony orbit Anterior displacement Buckle Aged Retrospective Studies medicine.diagnostic_test business.industry Retinal Detachment General Medicine Middle Aged Staphylococcal Infections Multiplanar reconstruction eye diseases Anti-Bacterial Agents Scleral Buckling Ophthalmology Tomography X-Ray Computed Nuclear medicine business Spatial relationship Complication |
| Zdroj: | Retina. 35:1656-1661 |
| ISSN: | 0275-004X |
| DOI: | 10.1097/iae.0000000000000516 |
| Popis: | PURPOSE To describe the role of multiplanar reconstruction and three-dimensional volume-rendered imaging in the assessment of silicon-based scleral buckle (SB)-related complications. METHODS Five eyes of five patients with SB-related complications where the history, surgical notes, and clinical examination proved inconclusive were included. Unenhanced axial orbital computed tomography images of all patients were acquired parallel to orbitomeatal line, and images were reviewed in orthogonal planes. The volume rendition of the imaged volume was evaluated in various tilts, with special reference to the spatial relationship of the band-buckle to the globe and bony orbit. All patients underwent imaging-assisted SB removal. RESULTS Imaging assisted in in vivo localization of the obscure band or buckle in all five eyes. Band was seen as hyperdense structure encircling whole of the globe, whereas buckle was seen as segmental, broad, hyperdense structure with scleral indentation. Presence of SB was identified in three patients, and globe integrity was shown in the other two. Abnormal anterior displacement of band and buckle was demonstrated in three cases on volume-rendered imaging in relation to lateral orbital rim. Focal exuberant soft-tissue proliferation around the buckle was present in all patients, suggesting chronic inflammation and infection. Successful removal of band and buckle could be achieved, and all patients were relieved of their preoperative complaints. No complication occurred during intraoperative and postoperative period. CONCLUSION Use of multiplanar reconstruction and three-dimensional volume-rendered computed tomography imaging played a pivotal role in surgical success. |
| Databáze: | OpenAIRE |
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