Conventional surgery for complicated retinal detachment in silicone oil-filled eyes.
OBJECTIVE
To evaluate the anatomic and functional outcomes of conventional surgery in silicone oil (SO)-filled eyes with complicated retinal detachment (RD).


METHODS
The records of patients who underwent scleral buckling surgery for complex RD in SO-filled eyes were retrospectively reviewed. Conventional RD surgery involved a 2.5-mm encircling band, 6-mm silicone strip for the inferior quadrants or local sponge implant, subretinal fluid (SRF) drainage, and/or SO aspiration with a 27-G needle. Cryotherapy and/or laser photocoagulation was applied around the tears and 360° of the peripheral retina.


RESULTS
In all, 4 of the cases had retinal breaks in the lower quadrants, 1 of which had a macular hole; recurrence was due to proliferative vitreoretinopathy (PVR) in the 3 other cases. Three cases were treated with external SRF drainage, 3 cases with SO aspiration, and 1 case with both external drainage and SO aspiration. The retina was attached at the last follow-up visit in 6 (85.7%) of the 7 eyes. One of the cases required secondary vitreoretinal surgery for recurrent RD due to PVR and still had SO tamponade at last follow-up visit. Mean follow-up period was 17.28 ± 8.64 months. Mean logMAR visual acuity was 1.47 ± 0.47 preoperatively and 1.4 ± 0.97 postoperatively.


CONCLUSIONS
Inferior RD in eyes treated with silicone oil tamponade, with or without a retinal break, can be treated with scleral buckling surgery, external SRF drainage, and/or pars plana SO aspiration with satisfactory functional and anatomic outcomes in selected complicated RD cases.
Acar
Mehmet A
MA
Department of Ophthalmology, Ankara Research and Training Hospital, Ministry of Health, Ankara, Turkey. macar06@hotmail.com
Ünlü
Nurten
N
Hazirolan
Dicle
D
Demir
M Necati
MN
Üney
Güner Ö
GÖ
Örnek
Firdevs
F
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D017679:Cryotherapy; D004322:Drainage; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D017075:Laser Coagulation; D008297:Male; D012163:Retinal Detachment / Q000601:surgery*; D012167:Retinal Perforations / Q000601:surgery; D012189:Retrospective Studies; D012591:Scleral Buckling / Q000379:methods*; D012827:Silicone Oils; D058471:Subretinal Fluid; D014822:Vitreous Body / Q000737:chemistry*
D012827:Silicone Oils