Pars plana vitrectomy with silicone oil in the management of combined rhegmatogenous retinal and choroidal detachment.
OBJECTIVE
Rhegmatogenous retinal detachment combined with spontaneous pre-operative choroidal detachment (RDCD) represents a rare but specific entity, which has in the past been associated with a poor prognosis. This study was designed to determine the efficacy of pars plana vitrectomy with silicone oil injection in the management of this very difficult vitreoretinal problem.


METHODS
A retrospective analysis was carried out of 13 eyes of 13 consecutive patients who underwent vitrectomy and silicone oil exchange.


RESULTS
In a total of 10 eyes (77%) the first procedure produced anatomical success. Two eyes required a further procedure to achieve retinal reattachment, producing a final anatomical success rate of 92%.


CONCLUSIONS
Pars plana vitrectomy with silicone oil exchange is an effective technique for managing RDCD.
Loo
A
A
Vitreoretinal Surgery Unit, Birmingham & Midland Eye Centre, UK.
Fitt
A W
AW
Ramchandani
M
M
Kirkby
G R
GR
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015862:Choroid Diseases / Q000209:etiology / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D012163:Retinal Detachment / Q000150:complications / Q000601:surgery*; D012189:Retrospective Studies; D012827:Silicone Oils / Q000627:therapeutic use*; D016896:Treatment Outcome; D014821:Vitrectomy / Q000379:methods*
D012827:Silicone Oils