title: Spontaneous resolution of macular edema after silicone oil removal.
abstract: OBJECTIVE
  To investigate the macular changes in eyes filled with silicone oil (SO) and course of these changes after SO removal.
  
  
  METHODS
  A retrospective optical coherence tomography scan review was conducted for twenty-four patients who underwent uncomplicated pars plana vitrectomy with SO tamponade for complex retinal detachments were detected with optical coherence tomography before, and one week, one month and three months after SO removal.
  
  
  RESULTS
  Mean duration of SO tamponade was 3.6±1.0mo (range: 3-7mo). Cystoid macular edema (CME) was detected in 3 eyes before SO removal. Submacular fluid was represented in 1 eye before silicone SO removal. Resolution of CME and submacular fluid was achieved 1mo after SO removal in all eyes. Mean best corrected visual acuity (BCVA) was 1.15±0.65 (range, hand movement to 0.2) before SO removal in the eyes without macular changes. After SO removal, the mean BCVA values at 1wk and 1 and 3mo, and 0.82±0.23, 0.76±0.21, and 0.70±0.19, all of which were significantly better than baseline (P=0.030, 0.017, 0.006 respectively). In the eyes with macular CME and subretinal fluid the mean BCVA was significantly improved at 3mo after SO removal compared with baseline (P=0.037).
  
  
  CONCLUSIONS
  Decreased visual acuity in eyes filled with SO could be caused by macular complications due to SO. CME and subretinal fluid may resolve without any additional macular surgery after SO removal.
authors.affiliation: Alfagoz Eye Center, Street of Mithatpasa, Balcova, Izmir 35330, Turkey.
authors.forename: Eyyup
authors.initials: E
authors.lastname: Karahan
authors.affiliation: Alfagoz Eye Center, Street of Mithatpasa, Balcova, Izmir 35330, Turkey.
authors.forename: Ibrahim
authors.initials: I
authors.lastname: Tuncer
authors.affiliation: Department of Ophthalmology, Izmir University, Yeni Girne Boulevard, Karsiyaka, Izmir 35510, Turkey.
authors.forename: Mehmet Ozgur
authors.initials: MO
authors.lastname: Zengin
authors.affiliation: Department of Ophthalmology, Izmir University, Yeni Girne Boulevard, Karsiyaka, Izmir 35510, Turkey.
authors.forename: Cem
authors.initials: C
authors.lastname: Kucukerdonmez
authors.affiliation: Department of Ophthalmology, Dokuz Eylul University, Izmir 35340, Turkey.
authors.forename: Suleyman
authors.initials: S
authors.lastname: Kaynak
keywords: macula; retinal detachment; silicone oil