title: Silicone oil in the management of giant retinal tears.
abstract: To evaluate the results of using and removing silicone oil in the management of giant retinal tears, 24 cases of vitrectomy with fluid-silicone oil exchange were reviewed. We did not use cryotherapy in any case. For chorioretinal adherence, we used either endolaser or postoperative external laser and a narrow buckle. The retina was reattached successfully in 22 (91.6%) of the 24 eyes. Of these, visual acuity was 20/200 or better in 18 (75%) eyes. This was significantly better than the preoperative visual acuity (P = .02). After removing the silicone oil in 15 cases, 13 (92.8%) had visual acuities of 20/200 or better, which was considerably better than that of the group in which the silicone oil was not removed (P = .006). We recommend removing the silicone oil and additional peeling of membranes an average of six months postoperatively when the eye is stable.
authors.affiliation: Retina and Vitreous Department, Instituto Barraquer de America, Bogota, Colombia.
authors.forename: H
authors.initials: H
authors.lastname: Camacho
authors.forename: B
authors.initials: B
authors.lastname: Bajaire
authors.forename: L F
authors.initials: LF
authors.lastname: Mejia
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D053685:Laser Therapy; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D011379:Prognosis; D012163:Retinal Detachment / Q000601:surgery; D012167:Retinal Perforations / Q000601:surgery*; D012591:Scleral Buckling; D012827:Silicone Oils; D014792:Visual Acuity; D014821:Vitrectomy
chemical_list: D012827:Silicone Oils