Results of high-density silicone oil as a tamponade agent in macular hole retinal detachment in patients with high myopia
Open Access
- 17 January 2007
- journal article
- research article
- Published by BMJ in British Journal of Ophthalmology
- Vol. 91 (6), 719-721
- https://doi.org/10.1136/bjo.2006.111526
Abstract
Background: To evaluate the use of high-density silicone oil (HDSO) as a tamponade agent for retinal detachment secondary to myopic macular hole. Methods: 12 eyes of 12 patients with macular hole retinal detachment underwent pars plana vitrectomy, internal limiting membrane peeling and HDSO tamponade. No posturing was required postoperatively and HDSO was removed 3-4 months later. Outcome measures included macular hole closure and retinal attachment rates, best-corrected visual acuity (BCVA), and intraoperative and postoperative complications. Results: The mean age of the patients was 67.8 years and the mean spherical equivalent refractive error was -13.4 diopters. After the removal of HDSO, 10 (83%) eyes had macular hole closure with retinal reattachment without any tamponade. One eye had retinal reattachment after re-operation and the other refused further surgery. At the last follow-up, the median BCVA improved from 20/800 to 20/600 (p = 0.046). A transient increase in intraocular pressure was observed in 5 (42%) eyes and one eye each developed mild oil emulsification and transient peripheral choroidal detachment. None of the eyes was found to have severe intraocular inflammation post-operatively. Conclusions: HDSO seemed to be an effective tamponade agent for myopic macular hole retinal detachment. Further prospective controlled studies seem warranted.published_or_final_versioKeywords
This publication has 20 references indexed in Scilit:
- Intraocular inflammation following endotamponade with high-density silicone oilAlbrecht von Graefes Archiv für Ophthalmologie, 2004
- SILICONE OIL-RMN3 MIXTURE (“HEAVY SILICONE OIL”) AS INTERNAL TAMPONADE FOR COMPLICATED RETINAL DETACHMENTRetina, 2003
- Evaluation of primary surgical procedures for retinal detachment with macular hole in highly myopic eyes A randomized comparison of vitrectomy versus posterior episcleral buckling surgeryOphthalmology, 2001
- Scleral infolding combined with vitrectomy and gas tamponade for retinal detachment with macular holes in highly myopic eyes.Japanese Journal of Ophthalmology, 2001
- Indocyanine green facilitates removal of epiretinal and internal limiting membranes in myopic eyes with retinal detachmentAmerican Journal of Ophthalmology, 2001
- Treatment of retinal detachment resulting from myopic macular hole with internal limiting membrane removalAmerican Journal of Ophthalmology, 2001
- MACULAR HOLE RETINAL DETACHMENT IN HIGHLY MYOPIC EYES: Ultrastructure of Surgically Removed Epiretinal Membrane and Clinicopathologic CorrelationRetina, 2000
- MACULAR BUCKLING FOR RETINAL DETACHMENT DUE TO MACULAR HOLE IN HIGHLY MYOPIC EYES WITH POSTERIOR STAPHYLOMARetina, 2000
- Retinal detachment associated with a macular hole in severely myopic eyesAmerican Journal of Ophthalmology, 1999
- Macular hole with central retinal detachment in high myopia with posterior staphyloma.British Journal of Ophthalmology, 1969