Outcome after silicone oil removal
Open Access
- 1 November 2001
- journal article
- Published by BMJ in British Journal of Ophthalmology
- Vol. 85 (11), 1324-1327
- https://doi.org/10.1136/bjo.85.11.1324
Abstract
BACKGROUND Combined with vitreoretinal surgery, silicone oil injection has become a standard technique and improves the prognosis of complex retinal detachment. As silicone oil leads to long term complications, removal of silicone oil from the eye is recommended. To evaluate the outcome after silicone oil removal, retinal redetachment, visual acuity, and complications were analysed. METHODS The authors analysed 115 consecutive cases of silicone oil removal (115 eyes), all operated by one surgeon. The series consisted of retinal detachments associated with proliferative vitreoretinopathy (103 eyes), proliferative diabetic retinopathy (six eyes), or ocular trauma (six eyes). The mean duration of intraocular silicone oil tamponade was 13.3 months, with a mean postoperative follow up of 1.8 years. RESULTS Anatomic success after silicone oil removal, defined as a complete retinal attachment, was achieved in 95 of 115 eyes (82.6%). Redetachment occurred in 20 eyes (17.4%), mostly within the first 6 months after silicone oil removal. Including the successfully reoperated eyes, the authors present a final anatomic success rate of 108 eyes (93.9%). Visual acuity improved or remained unchanged in 93 eyes (80.9%). CONCLUSION While reattachment and complication rates were quite similar to other studies, a better visual outcome was achieved in these cases. The duration of the silicone oil tamponade had no significant effect on the reattachment rate. The authors recommend not to apply standard criteria for the timing of silicone oil removal, but to decide individually, considering the underlying disease, as well as the previous operations.Keywords
This publication has 25 references indexed in Scilit:
- Phacoemulsification and silicone oil removal through a single corneal incisionOphthalmology, 1998
- Adjunctive daunorubicin in the treatment of proliferative vitreoretinopathy: results of a multicenter clinical trialAmerican Journal of Ophthalmology, 1998
- Silicone oil in the repair of complex retinal detachmentsOphthalmology, 1998
- Removal of silicone oil—Rewards and penaltiesEye, 1991
- Sekundärglaukome nach SilikonölchirurgieKlinische Monatsblätter für Augenheilkunde, 1990
- Temporary silicone oil tamponade in the treatment of complicated diabetic retinal detachmentsAlbrecht von Graefes Archiv für Ophthalmologie, 1990
- Silicone oil removal. II. Operative and postoperative complications.British Journal of Ophthalmology, 1987
- Silicone oil removal. I. The effect on the complications of silicone oil.British Journal of Ophthalmology, 1987
- Spätkomplikationen nach Silikonölinjektion. Langzeitbeobachtungen an 100 Fällen*Klinische Monatsblätter für Augenheilkunde, 1986
- The Use of Liquid Silicone in Retinal Detachment SurgeryAmerican Journal of Ophthalmology, 1962