{"id":"https://openalex.org/W7127038644","doi":"https://doi.org/10.1177/24741264251414127","title":"Delayed Scleral Buckle Removal in Cases of Exposure, Extrusion, and Infection: Clinical Features, Microbiologic Aspects, and Clinical Outcomes","display_name":"Delayed Scleral Buckle Removal in Cases of Exposure, Extrusion, and Infection: Clinical Features, Microbiologic Aspects, and Clinical Outcomes","publication_year":2026,"publication_date":"2026-02-01","ids":{"openalex":"https://openalex.org/W7127038644","doi":"https://doi.org/10.1177/24741264251414127","pmid":"https://pubmed.ncbi.nlm.nih.gov/41631098"},"language":"en","primary_location":{"id":"doi:10.1177/24741264251414127","doi":"https://doi.org/10.1177/24741264251414127","is_oa":false,"landing_page_url":"https://doi.org/10.1177/24741264251414127","pdf_url":null,"source":{"id":"https://openalex.org/S4210215442","display_name":"Journal of VitreoRetinal Diseases","issn_l":"2474-1264","issn":["2474-1264","2474-1272"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of VitreoRetinal Diseases","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12861397/pdf/10.1177_24741264251414127.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5101490554","display_name":"Charles Zhang","orcid":"https://orcid.org/0000-0003-1257-0476","observed_orcids":["https://orcid.org/0000-0003-1257-0476"]},"institutions":[{"id":"https://openalex.org/I145608581","display_name":"University of Miami","ror":"https://ror.org/02dgjyy92","country_code":"US","type":"education","lineage":["https://openalex.org/I145608581"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Charles Zhang","raw_affiliation_strings":["Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL, USA"],"raw_orcid":"https://orcid.org/0000-0003-1257-0476","affiliations":[{"raw_affiliation_string":"Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL, USA","institution_ids":["https://openalex.org/I145608581"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5094353092","display_name":"Georges AbouKasm","orcid":"https://orcid.org/0009-0006-8983-5224","observed_orcids":["https://orcid.org/0009-0006-8983-5224"]},"institutions":[{"id":"https://openalex.org/I145608581","display_name":"University of Miami","ror":"https://ror.org/02dgjyy92","country_code":"US","type":"education","lineage":["https://openalex.org/I145608581"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Georges AbouKasm","raw_affiliation_strings":["Miller School of Medicine, University of Miami, Miami, FL, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Miller School of Medicine, University of Miami, Miami, FL, USA","institution_ids":["https://openalex.org/I145608581"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5039648429","display_name":"Nicolas A. Yannuzzi","orcid":"https://orcid.org/0009-0004-0035-7373","observed_orcids":["https://orcid.org/0009-0004-0035-7373"]},"institutions":[{"id":"https://openalex.org/I145608581","display_name":"University of Miami","ror":"https://ror.org/02dgjyy92","country_code":"US","type":"education","lineage":["https://openalex.org/I145608581"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Nicolas A. Yannuzzi","raw_affiliation_strings":["Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL, USA","institution_ids":["https://openalex.org/I145608581"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5026855017","display_name":"William E. Smiddy","orcid":"https://orcid.org/0000-0001-6864-7669","observed_orcids":["https://orcid.org/0000-0001-6864-7669"]},"institutions":[{"id":"https://openalex.org/I145608581","display_name":"University of Miami","ror":"https://ror.org/02dgjyy92","country_code":"US","type":"education","lineage":["https://openalex.org/I145608581"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"William E. Smiddy","raw_affiliation_strings":["Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL, USA","institution_ids":["https://openalex.org/I145608581"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5068622919","display_name":"Harry W. Flynn","orcid":"https://orcid.org/0000-0002-9990-7467","observed_orcids":["https://orcid.org/0000-0002-9990-7467"]},"institutions":[{"id":"https://openalex.org/I145608581","display_name":"University of Miami","ror":"https://ror.org/02dgjyy92","country_code":"US","type":"education","lineage":["https://openalex.org/I145608581"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Harry W. Flynn","raw_affiliation_strings":["Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL, USA"],"raw_orcid":"https://orcid.org/0000-0002-9990-7467","affiliations":[{"raw_affiliation_string":"Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL, USA","institution_ids":["https://openalex.org/I145608581"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5068622919"],"corresponding_institution_ids":["https://openalex.org/I145608581"],"apc_list":{"value":3900,"currency":"USD","value_usd":3900},"apc_paid":null,"fwci":9.4204,"has_fulltext":true,"cited_by_count":2,"citation_normalized_percentile":{"value":0.96495863,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":96,"max":97},"biblio":{"volume":"10","issue":"3","first_page":"499","last_page":"505"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11377","display_name":"Retinal and Macular Surgery","score":0.9648000001907349,"subfield":{"id":"https://openalex.org/subfields/2741","display_name":"Radiology, Nuclear Medicine and Imaging"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11377","display_name":"Retinal and Macular Surgery","score":0.9648000001907349,"subfield":{"id":"https://openalex.org/subfields/2741","display_name":"Radiology, Nuclear Medicine and Imaging"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11826","display_name":"Ocular Infections and Treatments","score":0.020099999383091927,"subfield":{"id":"https://openalex.org/subfields/2731","display_name":"Ophthalmology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12989","display_name":"Ocular Disorders and Treatments","score":0.00139999995008111,"subfield":{"id":"https://openalex.org/subfields/1311","display_name":"Genetics"},"field":{"id":"https://openalex.org/fields/13","display_name":"Biochemistry, Genetics and Molecular Biology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/conjunctival-erosion","display_name":"conjunctival erosion","score":0.6949999928474426},{"id":"https://openalex.org/keywords/staphylococcus-aureus","display_name":"Staphylococcus aureus","score":0.8019999861717224},{"id":"https://openalex.org/keywords/pseudomonas-aeruginosa","display_name":"Pseudomonas aeruginosa","score":1.0},{"id":"https://openalex.org/keywords/staphylococcus-epidermidis","display_name":"Staphylococcus epidermidis","score":0.9589999914169312},{"id":"https://openalex.org/keywords/recurrent-retinal-detachment","display_name":"recurrent retinal detachment","score":0.9369999766349792},{"id":"https://openalex.org/keywords/encircling-band","display_name":"encircling band","score":0.6690000295639038},{"id":"https://openalex.org/keywords/sponges","display_name":"sponges","score":0.5759999752044678},{"id":"https://openalex.org/keywords/microbial-culture","display_name":"microbial cultivation","score":0.621999979019165}],"concepts":[{"id":"https://openalex.org/C2779694073","wikidata":"https://www.wikidata.org/wiki/Q7434130","display_name":"Scleral buckle","level":5,"score":0.9535999894142151},{"id":"https://openalex.org/C2778374714","wikidata":"https://www.wikidata.org/wiki/Q1135567","display_name":"Buckle","level":2,"score":0.9077000021934509},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8730000257492065},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.6585999727249146},{"id":"https://openalex.org/C2780428090","wikidata":"https://www.wikidata.org/wiki/Q625164","display_name":"Retinal detachment","level":3,"score":0.6414999961853027},{"id":"https://openalex.org/C2777910003","wikidata":"https://www.wikidata.org/wiki/Q1707292","display_name":"Asymptomatic","level":2,"score":0.484499990940094},{"id":"https://openalex.org/C2776148792","wikidata":"https://www.wikidata.org/wiki/Q3041498","display_name":"Eye disease","level":2,"score":0.4763000011444092},{"id":"https://openalex.org/C118487528","wikidata":"https://www.wikidata.org/wiki/Q161437","display_name":"Ophthalmology","level":1,"score":0.4562000036239624},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.4221999943256378},{"id":"https://openalex.org/C2910915821","wikidata":"https://www.wikidata.org/wiki/Q7434130","display_name":"Scleral buckling","level":4,"score":0.4171000123023987},{"id":"https://openalex.org/C61511704","wikidata":"https://www.wikidata.org/wiki/Q1671857","display_name":"Incidence (geometry)","level":2,"score":0.40720000863075256},{"id":"https://openalex.org/C2779059073","wikidata":"https://www.wikidata.org/wiki/Q7249608","display_name":"Proliferative vitreoretinopathy","level":4,"score":0.40299999713897705},{"id":"https://openalex.org/C2780827179","wikidata":"https://www.wikidata.org/wiki/Q422001","display_name":"Retinal","level":2,"score":0.3517000079154968},{"id":"https://openalex.org/C2992234860","wikidata":"https://www.wikidata.org/wiki/Q618211","display_name":"Eye care","level":2,"score":0.33160001039505005},{"id":"https://openalex.org/C2777100477","wikidata":"https://www.wikidata.org/wiki/Q193107","display_name":"Sclera","level":2,"score":0.3244999945163727},{"id":"https://openalex.org/C2778257484","wikidata":"https://www.wikidata.org/wiki/Q555066","display_name":"Visual acuity","level":2,"score":0.322299987077713},{"id":"https://openalex.org/C2994123057","wikidata":"https://www.wikidata.org/wiki/Q1595418","display_name":"Cure rate","level":2,"score":0.31060001254081726},{"id":"https://openalex.org/C2777980612","wikidata":"https://www.wikidata.org/wiki/Q2374415","display_name":"Symblepharon","level":3,"score":0.3041999936103821},{"id":"https://openalex.org/C2776864138","wikidata":"https://www.wikidata.org/wiki/Q7620839","display_name":"Strabismus","level":2,"score":0.2928999960422516},{"id":"https://openalex.org/C81182388","wikidata":"https://www.wikidata.org/wiki/Q353963","display_name":"Complication","level":2,"score":0.2736999988555908},{"id":"https://openalex.org/C2778313320","wikidata":"https://www.wikidata.org/wiki/Q550455","display_name":"Retinopathy","level":3,"score":0.2549000084400177}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.1177/24741264251414127","doi":"https://doi.org/10.1177/24741264251414127","is_oa":false,"landing_page_url":"https://doi.org/10.1177/24741264251414127","pdf_url":null,"source":{"id":"https://openalex.org/S4210215442","display_name":"Journal of VitreoRetinal Diseases","issn_l":"2474-1264","issn":["2474-1264","2474-1272"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of VitreoRetinal Diseases","raw_type":"journal-article"},{"id":"pmid:41631098","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/41631098","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of vitreoretinal diseases","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:12861397","doi":null,"is_oa":true,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/41631098/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12861397/pdf/10.1177_24741264251414127.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"J Vitreoretin Dis","raw_type":"Text"}],"best_oa_location":{"id":"pmh:oai:pubmedcentral.nih.gov:12861397","doi":null,"is_oa":true,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/41631098/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12861397/pdf/10.1177_24741264251414127.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"J Vitreoretin Dis","raw_type":"Text"},"sustainable_development_goals":[{"score":1.0,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"sustainable_development_goals_aurora":[],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7127038644.pdf","grobid_xml":"https://content.openalex.org/works/W7127038644.grobid-xml"},"referenced_works_count":28,"referenced_works":["https://openalex.org/W1508159876","https://openalex.org/W1964687296","https://openalex.org/W1966711198","https://openalex.org/W1967299599","https://openalex.org/W1972537780","https://openalex.org/W2006457754","https://openalex.org/W2009699516","https://openalex.org/W2018745275","https://openalex.org/W2023312543","https://openalex.org/W2025429609","https://openalex.org/W2027791692","https://openalex.org/W2033415188","https://openalex.org/W2036364488","https://openalex.org/W2037692623","https://openalex.org/W2054452532","https://openalex.org/W2126404189","https://openalex.org/W2137950558","https://openalex.org/W2150925943","https://openalex.org/W2284595938","https://openalex.org/W2559603910","https://openalex.org/W2591129475","https://openalex.org/W3019725624","https://openalex.org/W3110084155","https://openalex.org/W3112596858","https://openalex.org/W3164941144","https://openalex.org/W4206364812","https://openalex.org/W4307945506","https://openalex.org/W4385431487"],"related_works":[],"abstract_inverted_index":{"Purpose:":[0],"To":[1],"report":[2],"the":[3,139,221],"clinical":[4,9],"features,":[5],"microbiologic":[6,79],"aspects,":[7],"and":[8,35,78,119,142,182],"outcomes":[10],"of":[11,59,91,161,169,201,216,223],"delayed":[12,24],"scleral":[13,25,60,98],"buckle":[14,26,61,99,206,219],"removal.":[15],"Methods:":[16],"This":[17],"retrospective":[18],"study":[19,87],"included":[20,88,111],"all":[21],"eyes":[22,50,90,123,193],"undergoing":[23],"removal":[27,38,42,62,102,207],"at":[28,126],"Bascom":[29],"Palmer":[30],"Eye":[31],"Institute":[32],"between":[33],"2013":[34],"2024.":[36],"Delayed":[37],"was":[39,103,130,151,208,227],"defined":[40],"as":[41,66],"more":[43],"than":[44],"1":[45],"month":[46],"after":[47],"placement.":[48],"Only":[49],"with":[51,156,195,210],"exposure,":[52],"extrusion,":[53],"or":[54,69],"infection":[55],"were":[56,71,82,124,165],"included.":[57],"Cases":[58],"for":[63],"reasons":[64],"such":[65],"ocular":[67],"pain":[68],"strabismus":[70],"excluded.":[72],"Clinical":[73],"examination":[74],"findings,":[75],"operative":[76],"reports,":[77],"culture":[80,214],"results":[81],"reviewed.":[83],"Results:":[84],"The":[85,94,146],"current":[86],"50":[89,92],"patients.":[93],"median":[95],"time":[96,198],"from":[97],"placement":[100],"to":[101,199],"134":[104],"months":[105],"(range,":[106],"1-564).":[107],"Common":[108],"presenting":[109],"symptoms":[110],"eye":[112],"pain,":[113],"foreign":[114],"body":[115],"sensation,":[116],"discharge,":[117],"redness,":[118],"blurry":[120],"vision.":[121],"Six":[122],"asymptomatic":[125],"presentation.":[127],"Conjunctival":[128],"erosion":[129],"present":[131],"in":[132,138,159,167,191],"49":[133],"eyes,":[134,170],"most":[135,147,171],"frequently":[136],"located":[137],"superonasal":[140],"(35%)":[141,144],"superotemporal":[143],"quadrants.":[145],"commonly":[148,172],"explanted":[149],"element":[150],"an":[152],"encircling":[153],"band":[154],"(81%),":[155],"sponges":[157],"removed":[158],"14%":[160],"cases.":[162],"Microbiologic":[163],"cultures":[164],"positive":[166,212],"40%":[168],"yielding":[173],"Staphylococcus":[174],"aureus":[175],"(5":[176],"cases),":[177,181],"Pseudomonas":[178],"aeruginosa":[179],"(4":[180],"S.":[183],"epidermidis":[184],"(3":[185],"cases).":[186],"Recurrent":[187],"retinal":[188,225],"detachment":[189,226],"occurred":[190],"4":[192],"(8.3%),":[194],"a":[196,211],"mean":[197],"redetachment":[200],"81.5":[202],"days.":[203],"Conclusions:":[204],"Scleral":[205],"associated":[209],"microbial":[213],"rate":[215],"40%.":[217],"After":[218],"removal,":[220],"incidence":[222],"recurrent":[224],"low.":[228]},"counts_by_year":[{"year":2026,"cited_by_count":2}],"updated_date":"2026-09-29T14:09:16.559479","created_date":"2026-02-03T00:00:00"}
