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Clinical Observations and Occurrence of Complications following Heavy Silicone Oil Surgery

Purpose. To demonstrate development and complications in heavy silicone oil (HSO) surgery in 100 eyes following primary vitreoretinal surgery. Methods. 100 eyes were included in this retrospective study that underwent vitreoretinal surgery using HSO as endotamponade. Indication diagnoses were retina...

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Autores principales: Schwarzer, Hendrik, Mazinani, Babac, Plange, Niklas, Fuest, Matthias, Walter, Peter, Roessler, Gernot
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4009140/
https://www.ncbi.nlm.nih.gov/pubmed/24829913
http://dx.doi.org/10.1155/2014/706809
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author Schwarzer, Hendrik
Mazinani, Babac
Plange, Niklas
Fuest, Matthias
Walter, Peter
Roessler, Gernot
author_facet Schwarzer, Hendrik
Mazinani, Babac
Plange, Niklas
Fuest, Matthias
Walter, Peter
Roessler, Gernot
author_sort Schwarzer, Hendrik
collection PubMed
description Purpose. To demonstrate development and complications in heavy silicone oil (HSO) surgery in 100 eyes following primary vitreoretinal surgery. Methods. 100 eyes were included in this retrospective study that underwent vitreoretinal surgery using HSO as endotamponade. Indication diagnoses were retinal detachments (n = 76), complicated macular holes (MH) (n = 20), and others (n = 4). HSO removal was performed after a mean period of 20.2 ± 19.0 weeks. In 18 eyes with poor functional prognosis the silicone oil remained permanently for stabilisation. Overall follow-up time was 35.9 ± 51.8 weeks. Results. The mean IOP before HSO surgery was 13.3 ± 5.6 mmHg and raised to an average maximum of 23.3 ± 8.5 mmHg postoperatively and decreased to 13.7 ± 7.2 mmHg after removal. Secondary IOP raise due to emulsification of the silicone oil endotamponade was seen in 29 eyes after 7.8 ± 4.5 weeks. Other complications being observed with HSO installed were persistent corneal erosion (n = 3) and prolonged anterior chamber inflammation (n = 29). In 13 eyes recurrent retinal detachments occurred during followup. Conclusions. According to our analysis HSO surgery might deliver satisfying results in complicated cases of ophthalmological surgery. However, potential complications should always be taken into account when making the decision if to use and when to remove HSO in complicated retinal surgery.
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spelling pubmed-40091402014-05-14 Clinical Observations and Occurrence of Complications following Heavy Silicone Oil Surgery Schwarzer, Hendrik Mazinani, Babac Plange, Niklas Fuest, Matthias Walter, Peter Roessler, Gernot Biomed Res Int Clinical Study Purpose. To demonstrate development and complications in heavy silicone oil (HSO) surgery in 100 eyes following primary vitreoretinal surgery. Methods. 100 eyes were included in this retrospective study that underwent vitreoretinal surgery using HSO as endotamponade. Indication diagnoses were retinal detachments (n = 76), complicated macular holes (MH) (n = 20), and others (n = 4). HSO removal was performed after a mean period of 20.2 ± 19.0 weeks. In 18 eyes with poor functional prognosis the silicone oil remained permanently for stabilisation. Overall follow-up time was 35.9 ± 51.8 weeks. Results. The mean IOP before HSO surgery was 13.3 ± 5.6 mmHg and raised to an average maximum of 23.3 ± 8.5 mmHg postoperatively and decreased to 13.7 ± 7.2 mmHg after removal. Secondary IOP raise due to emulsification of the silicone oil endotamponade was seen in 29 eyes after 7.8 ± 4.5 weeks. Other complications being observed with HSO installed were persistent corneal erosion (n = 3) and prolonged anterior chamber inflammation (n = 29). In 13 eyes recurrent retinal detachments occurred during followup. Conclusions. According to our analysis HSO surgery might deliver satisfying results in complicated cases of ophthalmological surgery. However, potential complications should always be taken into account when making the decision if to use and when to remove HSO in complicated retinal surgery. Hindawi Publishing Corporation 2014 2014-04-14 /pmc/articles/PMC4009140/ /pubmed/24829913 http://dx.doi.org/10.1155/2014/706809 Text en Copyright © 2014 Hendrik Schwarzer et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Clinical Study
Schwarzer, Hendrik
Mazinani, Babac
Plange, Niklas
Fuest, Matthias
Walter, Peter
Roessler, Gernot
Clinical Observations and Occurrence of Complications following Heavy Silicone Oil Surgery
title Clinical Observations and Occurrence of Complications following Heavy Silicone Oil Surgery
title_full Clinical Observations and Occurrence of Complications following Heavy Silicone Oil Surgery
title_fullStr Clinical Observations and Occurrence of Complications following Heavy Silicone Oil Surgery
title_full_unstemmed Clinical Observations and Occurrence of Complications following Heavy Silicone Oil Surgery
title_short Clinical Observations and Occurrence of Complications following Heavy Silicone Oil Surgery
title_sort clinical observations and occurrence of complications following heavy silicone oil surgery
topic Clinical Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4009140/
https://www.ncbi.nlm.nih.gov/pubmed/24829913
http://dx.doi.org/10.1155/2014/706809
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