Management of complicated retinal detachment by vitrectomy and silicone oil injection.
One hundred eyes of 95 patients were operated with vitrectomy and silicone oil injection. The patients were divided into 3 groups: Penetrating trauma (PT)-22 eyes, proliferative diabetic retinopathy (PDR)-14 eyes, and proliferative vitreoretinopathy (PVR)-64 eyes. All of the eyes had retinal detachment including the macula. Final attachment of the retina was achieved in 40% of PT, 50% of PDR, and 60% of PVR. Improvement of visual acuity following the operation was noted in 54% of PT, 43% of PDR, and 67% of PDR. Postoperative complications included band keratopathy, elevation of IOP, hypotony, and cataract. Neovascularization of the iris, either preoperative or postoperative, is associated with very poor prognosis.
Ehud
A
A
Goldschleger Eye Institute, Sheba Medical Center, Tel-Hashomer, Israel.
Varda
C
C
Joseph
M
M
Giora
T
T
D000293:Adolescent; D000328:Adult; D003930:Diabetic Retinopathy / Q000150:complications; D005131:Eye Injuries / Q000150:complications; D005260:Female; D006801:Humans; D007267:Injections; D007429:Intraocular Pressure; D007498:Iris / Q000098:blood supply; D008297:Male; D008875:Middle Aged; D009389:Neovascularization, Pathologic / Q000150:complications; D011183:Postoperative Complications; D012163:Retinal Detachment / Q000150:complications / Q000628:therapy*; D012164:Retinal Diseases / Q000150:complications; D012827:Silicone Oils; D014792:Visual Acuity; D014821:Vitrectomy
D012827:Silicone Oils