Outcomes After the Use of Silicone Oil in Complex Retinal Detachment Repair.

J Vitreoretin Dis

Department of Ophthalmology and Visual Sciences, University of Louisville School of Medicine, Louisville, KY, USA.

Published: January 2020

Purpose: This study compares visual acuity (VA), anatomic outcomes, and complications in eyes that underwent complex retinal detachment (RD) repair in which silicone oil (SO) was retained vs removed.

Methods: A retrospective chart review of patients undergoing vitrectomy with SO tamponade. The eyes were divided into 2 groups based upon SO removal or retention. Main outcome measures were corrected VA, anatomic outcomes, and the presence of SO-related complications.

Results: Fifty-seven eyes with removed SO and 53 eyes with retained SO were identified. In both groups, the mean best-corrected VA (BCVA) at the final visit was significantly better than at baseline. In the retained-SO group, vision improved from 1.79 ± 0.6 to 1.2 ± 0.7 logarithm of the minimum angle of resolution (logMAR) (Snellen, 20/1200 to 20/350) at the final visit ( < .001). In the removed-SO group, mean BCVA improved from 1.84 ± 0.5 at baseline to 1.55 ± 0.6 logMAR units (Snellen, 20/1400 to 20/700) at the visit preceding SO removal ( < .002) and to 1.43 ± 0.6 logMAR units (Snellen, 20/500) at the final visit ( < .001). Complication rates were similar in both groups, apart from RD, which occurred more frequently in the removed-SO group ( = .03).

Conclusions: There was similarity in VA and complications among patients with removed or retained SO. Removal of SO may benefit eyes with SO-related complications, but SO retention may decrease the chance of RD and may be indicated in selected cases.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9976256PMC
http://dx.doi.org/10.1177/2474126419896658DOI Listing

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