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[Treatment of vitreoretinal proliferation in rhegmatogenous detachment and silicone oil tamponade].
J Fr Ophtalmol. 1996; 19(2):97-105.JF

Abstract

PURPOSE

To describe our technique of vitrectomy and silicone oil tamponade for managing retinal detachment and to report the last results according to the posterior and anterior proliferative vitreoretinopathy.

METHODS

A retrospective study was conducted in 108 patients who underwent vitreoretinal surgery and silicone oil tamponade for proliferative vitreo-retinopathy, 64% patients had already been operated without success and 42% underwent vitrectomy with SF6 or C3F8. Diffuse posterior proliferative vitreo-retinopathy (grade C3-D) was present in 64% patients and anterior proliferative vitreoretinopathy was present in 43.5%. Silicone oil was removed in 79% patients after a mean duration of 6.3 months. It was replaced by 16% C3F8. All patients were followed for a minimum of 6 months.

RESULTS

Before silicone oil removal, 55% of the retinas were reattached posterior to the scleral buckle with one operation, 78% after 2 operations and 88% after 3 or 4 operations. An average of 2.1 vitrectomy surgeries were performed. Reproliferation was correlated with the anterior proliferative vitreo-retinopathy (p < 0.001), posterior proliferative vitreo-retinopathy (p < 0.01) or previous vitrectomy (p < 0.05). The final visual acuity was 1/20 or better in 61% of the eyes and 2/10 or better in 30.5%. After silicone oil removal, 8% retinas redetached, 21% of the eyes had hypertony, 7.5% had hypotony and 7% of the corneas had dystrophy.

CONCLUSION

Silicone oil tamponade was effective for the treatment of retinal detachments with proliferative vitreo-retinopathy. Since the main complications were hypertony and corneal dystrophy, silicone oil should be reserved for severe proliferative vitreo-retinopathy cases.

Authors+Show Affiliations

Berrod JP
Service d'Ophtalmologie, CHU, Nancy.
Sellier A
No affiliation info available
Rozot P
No affiliation info available
Raspiller A
No affiliation info available

MeSH

AdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedRetinal DetachmentRetrospective StudiesSilicone OilsVitrectomyVitreoretinopathy, Proliferative

Pub Type(s)

English Abstract
Journal Article
Review

Language

fre

PubMed ID

8731777

Citation

Berrod, J P., et al. "[Treatment of Vitreoretinal Proliferation in Rhegmatogenous Detachment and Silicone Oil Tamponade]." Journal Francais D'ophtalmologie, vol. 19, no. 2, 1996, pp. 97-105.
Berrod JP, Sellier A, Rozot P, et al. [Treatment of vitreoretinal proliferation in rhegmatogenous detachment and silicone oil tamponade]. J Fr Ophtalmol. 1996;19(2):97-105.
Berrod, J. P., Sellier, A., Rozot, P., & Raspiller, A. (1996). [Treatment of vitreoretinal proliferation in rhegmatogenous detachment and silicone oil tamponade]. Journal Francais D'ophtalmologie, 19(2), 97-105.
Berrod JP, et al. [Treatment of Vitreoretinal Proliferation in Rhegmatogenous Detachment and Silicone Oil Tamponade]. J Fr Ophtalmol. 1996;19(2):97-105. PubMed PMID: 8731777.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Treatment of vitreoretinal proliferation in rhegmatogenous detachment and silicone oil tamponade]. AU - Berrod,J P, AU - Sellier,A, AU - Rozot,P, AU - Raspiller,A, PY - 1996/1/1/pubmed PY - 1996/1/1/medline PY - 1996/1/1/entrez SP - 97 EP - 105 JF - Journal francais d'ophtalmologie JO - J Fr Ophtalmol VL - 19 IS - 2 N2 - PURPOSE: To describe our technique of vitrectomy and silicone oil tamponade for managing retinal detachment and to report the last results according to the posterior and anterior proliferative vitreoretinopathy. METHODS: A retrospective study was conducted in 108 patients who underwent vitreoretinal surgery and silicone oil tamponade for proliferative vitreo-retinopathy, 64% patients had already been operated without success and 42% underwent vitrectomy with SF6 or C3F8. Diffuse posterior proliferative vitreo-retinopathy (grade C3-D) was present in 64% patients and anterior proliferative vitreoretinopathy was present in 43.5%. Silicone oil was removed in 79% patients after a mean duration of 6.3 months. It was replaced by 16% C3F8. All patients were followed for a minimum of 6 months. RESULTS: Before silicone oil removal, 55% of the retinas were reattached posterior to the scleral buckle with one operation, 78% after 2 operations and 88% after 3 or 4 operations. An average of 2.1 vitrectomy surgeries were performed. Reproliferation was correlated with the anterior proliferative vitreo-retinopathy (p < 0.001), posterior proliferative vitreo-retinopathy (p < 0.01) or previous vitrectomy (p < 0.05). The final visual acuity was 1/20 or better in 61% of the eyes and 2/10 or better in 30.5%. After silicone oil removal, 8% retinas redetached, 21% of the eyes had hypertony, 7.5% had hypotony and 7% of the corneas had dystrophy. CONCLUSION: Silicone oil tamponade was effective for the treatment of retinal detachments with proliferative vitreo-retinopathy. Since the main complications were hypertony and corneal dystrophy, silicone oil should be reserved for severe proliferative vitreo-retinopathy cases. SN - 0181-5512 UR - https://www.unboundmedicine.com/medline/citation/8731777/[Treatment_of_vitreoretinal_proliferation_in_rhegmatogenous_detachment_and_silicone_oil_tamponade]_ DB - PRIME DP - Unbound Medicine ER -