Ingrid Kreissig (Ed.), Primary Retinal Detachment, Springer 2005   

In het handboek van Kreissig is wordt in hoofdstuk 1 de historie van de netvlieschirurgie geschetst. In paragraaf ‘Scleral Buckling’ wordt vermeld dat silicone plombes, rubbers en sponsen, al vele jaren betrouwbaar en veilig zijn gebleken en als standaard gelden. Ander materiaal zoals hydrogel, MAI/Miragel, daarentegen heeft problemen veroorzaakt.

Chapter 1 – The History of Retinal Detachment Surgery
Scleral Buckling, p 11-12
A number of absorbable materials, such as sclera, gelatin, fascia lata, plantaris tendon, catgut, and collagen were introduced [98-108]. However, some absorbable materials were complicated by erosion, intrusion, and infection and none is currently used. Silicone rubber and silicone sponges have proven reliable and safe for many years and are the standard for scleral buckles. However, another material that was used for scleral buckles proved problematic. A form of hydrogel, co-poly (methylacrylate-2-hydroxyethyl acrylate) (MAI) (Miragel) can undergo microstructural change of the architecture of the porous material when left in place for 5 years or more and require removal [109]. MAI can swell, fragment and cause a granulomatous foreign body reaction. A patient can develop irritation, disturbance of ocular motility, an extraocular mass and rarely intrusion of the buckle through the sclera. It has been necessary to remove many MAI scleral buckles.