title: Silicone oil injection after failed primary vitreous surgery in severe ocular trauma.
abstract: In 42 cases of complicated retinal detachment following trauma after failed primary vitrectomy, at six months follow-up anatomic retinal reattachment posterior to the scleral buckle was achieved in 20 of 40 eyes (50%). Of the 40 eyes, 11 (28%) had a visual acuity of 5/200 or better. Of the eyes that were completely attached posterior to the buckle at six months, 13 of the 20 (65%) remained attached at the last follow-up examination. Many patients who had visual acuities of 5/200 or better at six months experienced a progressive decrease in visual acuity over three years, primarily because of recurrent retinal detachments and corneal edema. A final visual acuity of 5/200 or better was obtained in only five of the 42 eyes (12%) at the last follow-up examination.
authors.affiliation: Duke Eye Center, Duke University Medical Center, Durham, NC 27710.
authors.forename: A N
authors.initials: AN
authors.lastname: Antoszyk
authors.forename: B W
authors.initials: BW
authors.lastname: McCuen
authors.forename: E
authors.initials: E
authors.lastname: de Juan
authors.forename: R
authors.initials: R
authors.lastname: Machemer
mesh_terms: D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D005131:Eye Injuries / Q000150:complications / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D012086:Reoperation; D012163:Retinal Detachment / Q000150:complications / Q000209:etiology / Q000601:surgery; D012189:Retrospective Studies; D012591:Scleral Buckling / Q000379:methods; D012827:Silicone Oils; D014792:Visual Acuity; D014821:Vitrectomy / Q000379:methods
chemical_list: D012827:Silicone Oils