The use of silicone oil following failed vitrectomy for retinal detachment with advanced proliferative vitreoretinopathy.
We have used silicone-oil injection in a consecutive series of 44 patients with retinal detachment and advanced proliferative vitreoretinopathy, all of whom had previously failed to reattach with vitrectomy, membrane peeling, and scleral buckling. After a minimal follow-up period of 6 months, complete anatomic retinal reattachment posterior to the encircling scleral buckle was obtained in 64% of these eyes. Ambulatory visual acuity (5/200 or better) was achieved in 57% of the anatomically successful cases. Silicone-oil removal was performed in 69% of the anatomically and visually successful eyes without recurrent retinal detachment. Because of the frequent and severe complications associated with the use of silicone oil, we recommend that silicone-oil injection be considered only when conventional vitreoretinal techniques have failed to achieve retinal reattachment.
Duke Scholars
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DOI
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- Vitreous Body
- Vitrectomy
- Visual Acuity
- Silicones
- Retinal Detachment
- Ophthalmology & Optometry
- Oils
- Methods
- Injections
- Humans
Citation
Published In
DOI
ISSN
Publication Date
Volume
Issue
Start / End Page
Location
Related Subject Headings
- Vitreous Body
- Vitrectomy
- Visual Acuity
- Silicones
- Retinal Detachment
- Ophthalmology & Optometry
- Oils
- Methods
- Injections
- Humans