The use of silicone oil following failed vitrectomy for retinal detachment with advanced proliferative vitreoretinopathy.
We have used silicone-oil injection in a consecutive series of 44 patients with retinal detachment and advanced proliferative vitreoretinopathy, all of whom had previously failed to reattach with vitrectomy, membrane peeling, and scleral buckling. After a minimal follow-up period of 6 months, complete anatomic retinal reattachment posterior to the encircling scleral buckle was obtained in 64% of these eyes. Ambulatory visual acuity (5/200 or better) was achieved in 57% of the anatomically successful cases. Silicone-oil removal was performed in 69% of the anatomically and visually successful eyes without recurrent retinal detachment. Because of the frequent and severe complications associated with the use of silicone oil, we recommend that silicone-oil injection be considered only when conventional vitreoretinal techniques have failed to achieve retinal reattachment.
D005128:Eye Diseases / Q000601:surgery / Q000628:therapy*; D006801:Humans; D007267:Injections; D008722:Methods; D009821:Oils / Q000008:administration & dosage* / Q000627:therapeutic use; D012163:Retinal Detachment / Q000601:surgery / Q000628:therapy*; D012828:Silicones / Q000008:administration & dosage* / Q000627:therapeutic use; D014792:Visual Acuity; D014821:Vitrectomy; D014822:Vitreous Body
D009821:Oils; D012828:Silicones