Only cases that had two or more months of follow up were included. Patients whose complete records could not be located were excluded. This study was approved by the institution’s investigational review board. This is a retrospective case series of eyes that underwent SO removal between January 2012 and June 2016 at the Institute of Ophthalmology and Visual Science, Rutgers-New Jersey Medical School, in Newark, NJ. The purpose of this retrospective study is to describe and analyse the outcomes and complications in eyes after SO removal at our institution. Oil removal also is associated with a risk of recurrent RD. Another important consideration in the use of SO is the need for an additional surgical procedure to remove the oil once stable retinal anatomic status is achieved. However, silicone oil can lead to long-term complications, particularly glaucoma and keratopathy, which limits its use to the most severe cases. It is considered a better internal tamponade than sulphur hexafluoride gas (SF 6) in eyes with advanced PVR, both for anatomic and functional success. SO tamponade has become a standard technique for repair of complex retinal detachments (RDs) with giant retinal tears, proliferative vitreoretinopathy (PVR), viral retinitis and ocular trauma. Its use was popularised much later in 1970s with the advent of pars plana vitrectomy and was approved by US Food and Drug Administration for intraocular use in 1997. who reported a series of 33 eyes in which SO was used as vitreous substitute in 1962. Silicone oil (SO) was introduced in retina surgery by Cibis et al. Cataract progression was the most common complication. This study showed an overall improvement in VA and decrease in IOP after oil removal. Complications after oil removal, included retinal re-detachment (6.9%), hypotony (7.9%), ocular hypertension (12.9%), corneal decompensation (9.9%), CME (2%) and cataract progression (68%). The average IOP pre-operatively was 16.1 mm Hg, which decreased to an average of 14.8 mm Hg post-operatively. The average logMAR VA before oil removal was 1.7 which improved to an average of 1.4 post-operatively. The average time of oil tamponade before removal was 9.46 months. The most common vitreous substitutes used after oil removal were balanced salt solution (BSS) and air in 90% of eyes. Oil tamponade had been used for retinal detachment (RD) repair in all eyes 15 eyes had also undergone an open globe repair previously. Totally, 101 eyes of 99 patients (65% male, average age 47.2 years) were identified. Visual acuity (VA), intraocular pressure (IOP) and rates of retinal re-detachment, hypotony, ocular hypertension, corneal decompensation, cystoid macular edema (CME) and cataract progression were evaluated. ![]() Retrospective case series of eyes that underwent oil removal between 20 at The Institute of Ophthalmology and Visual Science. To describe the characteristics, outcomes and complications of eyes after silicone oil removal.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |