title: Complications of emulsified silicone oil after retinal detachment repair.
abstract: Intraocular silicone oil has several important indications in vitreoretinal surgery, particularly the repair of complicated retinal detachments. Emulsification is a clinically significant complication of using silicone oil tamponade. There are several factors that can promote or prevent silicone oil emulsification after retinal detachment repair, including protein surfactants, contaminants, and shear forces. However, the duration of tamponade remains the most significant one. After emulsification has occurred, keratopathy and glaucoma are the most common complications. However, recent work has shown that emulsification can also affect the retina, optic nerve, and even extraocular structures. Limiting the amount of time the silicone oil remains in the eye is the most important factor in reducing its complications.
authors.affiliation: Harvard Medical School, Massachusetts Eye and Ear Infirmary , Boston, Massachusetts , USA.
authors.forename: John B
authors.initials: JB
authors.lastname: Miller
authors.forename: Thanos D
authors.initials: TD
authors.lastname: Papakostas
authors.forename: Demetrios G
authors.initials: DG
authors.lastname: Vavvas
mesh_terms: D003316:Corneal Diseases / Q000139:chemically induced; D004655:Emulsions / Q000009:adverse effects*; D058450:Endotamponade; D005901:Glaucoma / Q000139:chemically induced; D006801:Humans; D009901:Optic Nerve Diseases / Q000139:chemically induced; D012163:Retinal Detachment / Q000601:surgery*; D012164:Retinal Diseases / Q000139:chemically induced; D012827:Silicone Oils / Q000009:adverse effects*
chemical_list: D004655:Emulsions; D012827:Silicone Oils
keywords: Emulsification; glaucoma; keratopathy; retinal detachment; silicone oil