Outcome after silicone oil removal

作者: C. I Falkner

DOI: 10.1136/BJO.85.11.1324

关键词:

摘要: BACKGROUND Combined with vitreoretinal surgery, silicone oil injection has become a standard technique and improves the prognosis of complex retinal detachment. As leads to long term complications, removal from eye is recommended. To evaluate outcome after removal, redetachment, visual acuity, complications were analysed. METHODS The authors analysed 115 consecutive cases (115 eyes), all operated by one surgeon. series consisted detachments associated proliferative vitreoretinopathy (103 diabetic retinopathy (six or ocular trauma eyes). mean duration intraocular tamponade was 13.3 months, postoperative follow up 1.8 years. RESULTS Anatomic success defined as complete attachment, achieved in 95 eyes (82.6%). Redetachment occurred 20 (17.4%), mostly within first 6 months removal. Including successfully reoperated eyes, present final anatomic rate 108 (93.9%). Visual acuity improved remained unchanged 93 (80.9%). CONCLUSION While reattachment complication rates quite similar other studies, better these cases. had no significant effect on rate. recommend not apply criteria for timing but decide individually, considering underlying disease, well previous operations.

参考文章(33)
S. Hörle, J. Schmidt, P. Kroll, Vitreoretinale Chirurgie bei komplizierten Netzhautablösungen im Kindes- und Jugendalter Ophthalmologe. ,vol. 97, pp. 482- 486 ,(2000) , 10.1007/S003470070079
Margo Ce, Hammer M, Grizzard Ws, Complex Retinal Detachment Treated With Silicone Oil or Sulfur Hexafluoride Gas: A Randomized Clinical Trial Ophthalmic Surgery and Lasers. ,vol. 28, pp. 926- 931 ,(1997) , 10.3928/1542-8877-19971101-10
S Latinovic, S Pavlovic, Z Tomic, B Dick, K G Schmidt, [Long-term outcome after silicone oil removal]. Ophthalmologe. ,vol. 92, pp. 672- 676 ,(1995)
A. Wedrich, S. Binder, M. Velikay, U. Stolba, P. Datlinger, Funktionelle und anatomische Ergebnisse der Silikonölchirurgie bei proliferativer diabetischer Retinopathie Spektrum Der Augenheilkunde. ,vol. 6, pp. 8- 12 ,(1992) , 10.1007/BF03162669
George Hilton, Robert Machemer, Ronald Michels, Edward Okun, Charles Schepens, Ariah Schwartz, The Classification of Retinal Detachment with Proliferative Vitreoretinopathy Ophthalmology. ,vol. 90, pp. 121- 125 ,(1983) , 10.1016/S0161-6420(83)34588-7
Genevieve B Larkin, Christina J Flaxel, Peter K Leaver, Phacoemulsification and silicone oil removal through a single corneal incision Ophthalmology. ,vol. 105, pp. 2023- 2027 ,(1998) , 10.1016/S0161-6420(98)91119-8
Christoph Scholda, Stefan Egger, Adalbert Lakits, Katharina Walch, Eva Von Eckardstein, Robert Biowski, Retinal detachment after silicone oil removal. Acta Ophthalmologica Scandinavica. ,vol. 78, pp. 182- 186 ,(2000) , 10.1034/J.1600-0420.2000.078002182.X
John D. Zilis, Brooks W. McCuen, Eugene De Juan, Einar Stefansson, Robert Machemer, Results of silicone oil removal in advanced proliferative vitreoretinopathy. American Journal of Ophthalmology. ,vol. 108, pp. 15- 21 ,(1989) , 10.1016/S0002-9394(14)73254-4
A G Casswell, Z J Gregor, Silicone oil removal. I. The effect on the complications of silicone oil. British Journal of Ophthalmology. ,vol. 71, pp. 893- 897 ,(1987) , 10.1136/BJO.71.12.893