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Long-term outcomes of heavy silicone oil tamponade for complicated retinal detachment.
Eur J Ophthalmol. 2007 Sep-Oct; 17(5):797-803.EJ

Abstract

PURPOSE

To assess the long-term success rates and complications of heavy silicone oil tamponade (Oxane HD) in the management of complicated retinal detachment with proliferative vitreoretinopathy (PVR).

METHODS

Twenty-one eyes of 21 patients with complicated retinal detachment and PVR were included in this study. Vitreoretinal surgery with heavy silicone oil (Oxane HD) tamponade was performed in all patients. Heavy silicone oil was injected by perfluorocarbon liquid-air-silicone oil exchange, and was removed after 3 months. The main outcomes of the surgery including the success and complication rates were evaluated during the mean follow-up period of 11.4+/-0.88 months. Wilcoxon signed ranks test was used for statistical analysis of visual acuity changes. The outcomes of our study were compared with those of the previous studies.

RESULTS

All eyes had complicated retinal detachment with PVR Grade C3 or worse. Retinal detachment was rhegmatogenous in 6 eyes, secondary to previous detachment surgery in 11 eyes, secondary to proliferative diabetic retinopathy in 3 eyes, and secondary to perforating eye injury in 1 eye. The overall anatomic success rate was 80.9% at the end of the follow-up period. The overall visual success rate was 42.8%, with no statistically significant difference from baseline (p>0.05). Postoperative complications included severe reproliferation (4 eyes), intraocular pressure rise (3 eyes), anterior dislocation of silicone oil (2 eyes), posterior subcapsular cataract formation (4 eyes), vitreous hemorrhage (1 eye), rubeosis iridis (3 eyes), optic atrophy (1 eye), and ocular pain and photophobia (21 eyes).

CONCLUSIONS

According to the results of this study, vitreoretinal surgery with temporary heavy silicone oil tamponade appears to increase the anatomic success rates with minimal complication rate in cases with complicated retinal detachment and PVR.

Authors+Show Affiliations

Department of Retinal Diseases and Vitreoretinal Surgery, Ankara Ulucanlar Eye Research Hospital, Ankara, Turkey. niluferberker@hotmail.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

17932858

Citation

Berker, N, et al. "Long-term Outcomes of Heavy Silicone Oil Tamponade for Complicated Retinal Detachment." European Journal of Ophthalmology, vol. 17, no. 5, 2007, pp. 797-803.
Berker N, Batman C, Ozdamar Y, et al. Long-term outcomes of heavy silicone oil tamponade for complicated retinal detachment. Eur J Ophthalmol. 2007;17(5):797-803.
Berker, N., Batman, C., Ozdamar, Y., Eranil, S., Aslan, O., & Zilelioglu, O. (2007). Long-term outcomes of heavy silicone oil tamponade for complicated retinal detachment. European Journal of Ophthalmology, 17(5), 797-803.
Berker N, et al. Long-term Outcomes of Heavy Silicone Oil Tamponade for Complicated Retinal Detachment. Eur J Ophthalmol. 2007 Sep-Oct;17(5):797-803. PubMed PMID: 17932858.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Long-term outcomes of heavy silicone oil tamponade for complicated retinal detachment. AU - Berker,N, AU - Batman,C, AU - Ozdamar,Y, AU - Eranil,S, AU - Aslan,O, AU - Zilelioglu,O, PY - 2007/10/13/pubmed PY - 2007/12/14/medline PY - 2007/10/13/entrez SP - 797 EP - 803 JF - European journal of ophthalmology JO - Eur J Ophthalmol VL - 17 IS - 5 N2 - PURPOSE: To assess the long-term success rates and complications of heavy silicone oil tamponade (Oxane HD) in the management of complicated retinal detachment with proliferative vitreoretinopathy (PVR). METHODS: Twenty-one eyes of 21 patients with complicated retinal detachment and PVR were included in this study. Vitreoretinal surgery with heavy silicone oil (Oxane HD) tamponade was performed in all patients. Heavy silicone oil was injected by perfluorocarbon liquid-air-silicone oil exchange, and was removed after 3 months. The main outcomes of the surgery including the success and complication rates were evaluated during the mean follow-up period of 11.4+/-0.88 months. Wilcoxon signed ranks test was used for statistical analysis of visual acuity changes. The outcomes of our study were compared with those of the previous studies. RESULTS: All eyes had complicated retinal detachment with PVR Grade C3 or worse. Retinal detachment was rhegmatogenous in 6 eyes, secondary to previous detachment surgery in 11 eyes, secondary to proliferative diabetic retinopathy in 3 eyes, and secondary to perforating eye injury in 1 eye. The overall anatomic success rate was 80.9% at the end of the follow-up period. The overall visual success rate was 42.8%, with no statistically significant difference from baseline (p>0.05). Postoperative complications included severe reproliferation (4 eyes), intraocular pressure rise (3 eyes), anterior dislocation of silicone oil (2 eyes), posterior subcapsular cataract formation (4 eyes), vitreous hemorrhage (1 eye), rubeosis iridis (3 eyes), optic atrophy (1 eye), and ocular pain and photophobia (21 eyes). CONCLUSIONS: According to the results of this study, vitreoretinal surgery with temporary heavy silicone oil tamponade appears to increase the anatomic success rates with minimal complication rate in cases with complicated retinal detachment and PVR. SN - 1120-6721 UR - https://www.unboundmedicine.com/medline/citation/17932858/Long_term_outcomes_of_heavy_silicone_oil_tamponade_for_complicated_retinal_detachment_ L2 - http://journals.sagepub.com/doi/full/10.1177/112067210701700518?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -