[A study of vitrectomy for retinal redetachment with silicone oil retained].
OBJECTIVE
To evaluate the outcome of vitrectomy for retinal redetachment in eyes with silicone oil tamponade and investigate the indications and surgical techniques of this surgery.


METHODS
A total of 17 eyes (17 cases), in which retinal redetachment developed after the management of silicone oil tamponade, underwent pars plana vitrectomy with silicone oil retained. Directed by endoilluminator, membrane peeling, membrane inside-cut, full thickness retinal incision, internal drainage, endolaser, removal of subretinal perfluorocarbon liquids and injection of additional silicone oil, etc. were performed to make retinal reattachment.


RESULTS
14 eyes achieved retinal reattachment in total 17 eyes (82.4%). During operation, silicone oil migrated into anterior chamber in 1 eye and into suprachoroidal space in 1 eye. There was 1 eye with vitreous hemorrhage and ocular hypertension postoperatively. Retinal reattachment was not achieved in 3 eyes.


CONCLUSIONS
Vitrectomy with silicone oil retained is an effective management for retinal redetachment of eyes with silicone oil tamponade. The advantages of this method are economical and time-saving. But the surgeon should be well trained and competent with vitrectomy.
Jiang
Y
Y
Department of Ophthalmology, People's Hospital, Beijing Medical University, Beijing 100044.
Li
X
X
D000293:Adolescent; D000328:Adult; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D012163:Retinal Detachment / Q000601:surgery*; D012827:Silicone Oils / Q000008:administration & dosage*; D016896:Treatment Outcome; D014821:Vitrectomy
D012827:Silicone Oils