Removal of the intruding Miragel's scleral buckle by pars plana ultrasonic fragmentation

Purpose: To introduce a surgical approach for removing intruded scleral buckle resulting from Miragel''s implant. Design: Interventional case report. Methods: After cutting and releasing scleral band externally, a pars plana Fragmatome was used to break up and aspirate pieces of the Miragel''s implant that had grown into the eye, filling the vitreous cavity. Results: The intruding Miragel''s buckle was shaved to the plane of the retina without any complication. The retina was completely attached. Conclusion: Use of ultrasonic fragmentation by a pars plana approach was effective in removing the intavitreally expanded buckling element without harming the retina. [Copyright &y& Elsevier]