Silicone oil removal: results, risks and complications.
OBJECTIVE
We studied the results and complications of silicone oil removal applying basic criteria for the selection of eyes.


METHODS
The criteria for oil removal: 1. Completely attached retina for at least 4 weeks, 2. Absence of tractions and active proliferations, 3. Preoperative vision > 0.01. The oil was removed from 90 of 261 oil filled eyes (removal rate: 34.5%). 83 eyes were included in the further study.


RESULTS
1.3-62.5 months (mean 15.7).


RESULTS
Visual acuity improved (> or = 1 line) in 40 of the 83 eyes (48.2%), remained unchanged in 22 eyes (26.5%) and deteriorated (> or = 1 line) in 21 eyes (25.3%).


RESULTS
reproliferations (42.2%), retinal detachment (20.5%), pressure rises (27.7%), lens opacification (36.7%), severe keratopathy (8.4%).


CONCLUSIONS
Silicone oil removal has a distinct rate of complications, despite preoperative selection of eyes with a better prognosis. Reduction of reproliferations and weighing of risk and benefit could improve the results.
Scholda
C
C
Eye Clinic, Department A, University of Vienna, Austria.
Egger
S
S
Lakits
A
A
Haddad
R
R
D002386:Cataract / Q000209:etiology; D003316:Corneal Diseases / Q000209:etiology; D005260:Female; D005500:Follow-Up Studies; D005901:Glaucoma / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012086:Reoperation; D012163:Retinal Detachment / Q000209:etiology / Q000601:surgery; D012189:Retrospective Studies; D012307:Risk Factors; D012827:Silicone Oils / Q000009:adverse effects; D014792:Visual Acuity; D014821:Vitrectomy / Q000379:methods
D012827:Silicone Oils