A simple way to remove miragel explants after long-term inflammation and extrusion.
OBJECTIVE
To report three cases of exposure of Miragel (Medical Instruments Research Associates, Waltham, MA) implants many years after buckling surgery and a new surgical technique to avoid significant fragmentation and achieve safe and effective removal of the exposed implants.


METHODS
Retrospective interventional series of three cases.


RESULTS
Many years after the initial retinal detachment surgery, Miragel explants can be exposed, causing inflammation. Their removal can be difficult due to increased fragility.


CONCLUSIONS
We have developed a simple and safe technique to remove extruded Miragel explants, reducing the risk of fragmentation.
From the Vitreoretinal Unit, Birmingham and Midland Eye Centre, Birmingham, United Kingdom.
Konstantinos
K
Chalioulias
Acharya
A
Nachiketa
Rob
R
Scott