title: Complications associated with the use of silicone oil in 150 eyes after retina-vitreous surgery.
abstract: Complicated retinal detachments (RDs) were successfully managed in 150 eyes of 170 consecutive patients by one surgeon (JLF) using silicone oil in conjunction with modern pars plana vitrectomy. Long-term postoperative complications were observed between 6 months and 5 years of follow-up. Cataracts developed in all phakic eyes and all corneas with oil-endothelial touch showed band keratopathy within 6 months. Recurrent detachments were noted in 22% of eyes during silicone oil tamponade and occurred in 13% of eyes after the oil had been removed. Other complications associated with the use of oil for vitreous surgery included pupillary block glaucoma (3%), closure of the inferior iridectomy (14%), fibrous epiretinal and subretinal proliferations (15%), pain (5%), and subconjunctival deposits of oil (3%). Without exception, within a period of 1 year the intraocular silicone oil showed some degree of emulsification, suggesting that the physicochemical characteristics of the oil injected may be an important variable in long-term complications.
authors.affiliation: Retina Service, Wills Eye Hospital, Philadelphia, PA 19107.
authors.forename: J L
authors.initials: JL
authors.lastname: Federman
authors.forename: H D
authors.initials: HD
authors.lastname: Schubert
mesh_terms: D002386:Cataract / Q000139:chemically induced; D002908:Chronic Disease; D003316:Corneal Diseases / Q000139:chemically induced; D004655:Emulsions / Q000009:adverse effects; D005128:Eye Diseases / Q000209:etiology; D005901:Glaucoma / Q000209:etiology; D006801:Humans; D007498:Iris / Q000601:surgery; D010146:Pain / Q000139:chemically induced; D010858:Pigmentation; D011183:Postoperative Complications; D012160:Retina / Q000601:surgery*; D012163:Retinal Detachment / Q000209:etiology; D012827:Silicone Oils / Q000009:adverse effects*; D014605:Uveitis / Q000209:etiology; D014785:Vision, Ocular; D014822:Vitreous Body / Q000601:surgery*
chemical_list: D004655:Emulsions; D012827:Silicone Oils