title: The management of giant retinal tears with silicone oil.
abstract: OBJECTIVE
  To report the surgical success of vitrectomy with silicone oil tamponade in the treatment of retinal detachment associated with giant retinal tears due to various factors.
  
  
  METHODS
  We retrospectively evaluated 21 eyes of 21 patients with retinal tears 90 degrees or greater that underwent vitrectomy, with injection of perfluorocarbon liquids and silicone oil tamponade. Eight eyes (38.1%) had previous ocular surgery (4 aphakia-pseudophakia, 4 pars plana vitrectomy), 4 eyes (19.0%) had a history of trauma (blunt injuries in 2 and penetrating injury in 2), 3 (14.3%) had high myopia. Six eyes (28.6%) had no known condition predisposing to development of giant retinal tear.
  
  
  RESULTS
  Retinal attachment was obtained in 17 (80.5%) of 21 eyes, with a mean follow-up of 12.5 months. Visual acuity improved in 15 eyes (71.4%).
  
  
  CONCLUSIONS
  Pars plana vitrectomy with silicone oil tamponade proved highly effective in giant retinal tears in terms of anatomical and functional results.
authors.affiliation: Department of Ophthalmology, Ankara Research and Training Hospital, Ankara, Turkey. unlunurten@yahoo.com
authors.forename: N
authors.initials: N
authors.lastname: Unlü
authors.forename: H
authors.initials: H
authors.lastname: Kocaoğlan
authors.forename: M A
authors.initials: MA
authors.lastname: Acar
authors.forename: M
authors.initials: M
authors.lastname: Sargin
authors.forename: B S
authors.initials: BS
authors.lastname: Aslan
authors.forename: S
authors.initials: S
authors.lastname: Duman
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012163:Retinal Detachment / Q000601:surgery; D012167:Retinal Perforations / Q000188:drug therapy* / Q000601:surgery*; D012189:Retrospective Studies; D012591:Scleral Buckling; D012827:Silicone Oils / Q000627:therapeutic use*; D014792:Visual Acuity; D014821:Vitrectomy
chemical_list: D012827:Silicone Oils