title: Pars plana vitrectomy with silicone oil in the management of combined rhegmatogenous retinal and choroidal detachment.
abstract: 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.
authors.affiliation: Vitreoretinal Surgery Unit, Birmingham & Midland Eye Centre, UK.
authors.forename: A
authors.initials: A
authors.lastname: Loo
authors.forename: A W
authors.initials: AW
authors.lastname: Fitt
authors.forename: M
authors.initials: M
authors.lastname: Ramchandani
authors.forename: G R
authors.initials: GR
authors.lastname: Kirkby
mesh_terms: 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*
chemical_list: D012827:Silicone Oils