Clinical Outcomes After Intraocular Silicone Oil Removal and Analysis of Its Prognostic Factors

2009 ◽  
Vol 50 (12) ◽  
pp. 1809
Author(s):  
Soo Young Kim ◽  
Jung Yeong Jeong ◽  
Sang Joon Lee ◽  
Shin Dong Kim
Author(s):  
A.M. Danilov ◽  
◽  
A.G. Grinev ◽  
M.B. Sviridova ◽  
◽  
...  

Актуальность. Тампонада витреальной полости силиконовым маслом (СМ) или наличие остатков СМ при авитрии являются показаниями к их удалению, которое может быть выполнено различными методиками, нередко после факоэмульсификации катаракты. Цель. Изучить результаты удаления СМ через задний капсулорексис (ЗК) различными методами. 1. Изучить возможность удаления остатков СМ через задний капсулорексис при авитрии. 2. Провести апробацию удаления СМ через ЗК методом эффузии. 3. Провести апробацию удаления СМ через ЗК методом аспирации. Материал и методы. Под наблюдением находилось 18 пациентов, проходивших лечение в СОКБ №1. Результаты. Операции выполнены без осложнений в ближайшем и отдаленном послеоперационном периоде с улучшением зрительных функций. Выводы. 1. Изучены результаты удаления СМ через задний капсулорексис. 2. Удаление остатков СМ через ЗК при авитрии после факоэмульсификации позволяет повысить степень удовлетворенности пациентов результатами хирургического лечения. 3. Проведена апробация удаления СМ через ЗК методом эффузии, что позволяет качественнее удалять СМ, в том числе эмульгированные фрагменты. 4. Проведена апробация удаления СМ через ЗК методом аспирации, что сокращает время операции, позволяет в большем объеме удалять остатки эмульгированного СМ.


Retina ◽  
1997 ◽  
Vol 17 (3) ◽  
pp. 266-267 ◽  
Author(s):  
LINGAM GOPAL ◽  
SALIL MEHTA

Retina ◽  
2001 ◽  
Vol 21 (6) ◽  
pp. 685-687 ◽  
Author(s):  
VINAY K. GARODIA ◽  
AMOL KULKARNI

2007 ◽  
Vol 17 (4) ◽  
pp. 627-637 ◽  
Author(s):  
F. Goezinne ◽  
E.C. La Heij ◽  
T.T.J.M. Berendschot ◽  
A.T.A. Liem ◽  
F. Hendrikse

Purpose The goal of this study was to identify risk factors for redetachment and/or a worse visual outcome after silicone oil removal (SOR) for complicated retinal detachment. Methods The authors retrospectively analyzed 287 consecutive eyes with SOR between January 1999 and December 2003. Results Anatomic success after SOR was achieved in 81% of the eyes. The overall anatomic success at the end of follow-up was 94%. Postoperative ocular hypertension was found in 8% of the eyes, hypotony in 6% of the eyes, and keratopathy in 29% of the eyes. After SOR 43% of the eyes had an improvement in visual acuity of at least two Snellen lines. After multivariate analysis, male sex, the presence of preoperative rubeosis, and proliferative diabetic retinopathy (PDR) were found to be risk factors for recurrent retinal detachment. Male sex, preoperative visual acuity of <0.1 Snellen lines, PDR, the performance of three more operations, any size of retinectomy, and hypotony were found to be associated with a poor visual outcome of Snellen visual acuity <0.1. Conclusions Retinal detachment after SOR in the current unselected series of eyes occurred in approximately 20%, which is comparable to the Silicone Oil Study reports, published approximately 20 years ago. However, preoperative selection was then made, and less than 50% of the silicone oil-filled eyes had SOR. The higher overall anatomic success in the current study may be due to improved vitreoretinal surgical techniques.


2017 ◽  
Vol 48 (3) ◽  
pp. 242-250 ◽  
Author(s):  
Hammouda Hamdy Ghoraba ◽  
Sameh Mohamed Elgouhary ◽  
Hosam Osman Mansour ◽  
Hitham Mamoun Abdel-Fattah ◽  
Mohamed Amin Heikal ◽  
...  

2019 ◽  
Vol 3 (6) ◽  
pp. 445-451 ◽  
Author(s):  
Natalia Vila ◽  
Emmanouil Rampakakis ◽  
Flavio Rezende

Purpose: This retrospective study recorded intraoperative findings during silicone oil removal and postoperative anatomical outcomes comparing endoscopy-assisted pars plana vitrectomy (E-PPV) vs pars plana vitrectomy (PPV) alone after proliferative vitreoretinopathy (PVR)-related retinal detachment (RD) repair. Methods: This single-center retrospective study included patients who underwent PPV for silicone oil removal after RD with PVR from July 2009 to January 2017. Patients with diabetic tractional RD, history of trauma, uveitis, or endophthalmitis were excluded. After 2013, an endoscopic visualization system (E2 MicroProbe; Endo Optiks) was used in a nonrandomized fashion. Data collection included reattachment rate, intraoperative endoscopic findings and phthisis rate. Results: Fifty-four eyes of 54 patients were included. The mean participant age was 58.4 ± 12.9 years and 36 (65.5%) participants were male. The mean (± SD) follow-up duration after oil removal was 24.3 ± 20.1 months. E-PPV combined with wide-angle visualization system was performed in 26 (48.1%) of the patients; the surgical management was modified after endoscopic examination in 17 (65.4%) of the cases. Reattachment rate in the E-PPV group was 96.2% compared with 76.0% in the PPV-alone group ( P = .04). Conclusions: E-PPV for silicone oil removal appears to be advantageous for prevention of RD recurrence, thus achieving better reattachment rates. A thorough examination is facilitated by endoscopic visualization and contributory factors for anterior PVR can be identified and treated.


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