Complications associated with the use of two types of silicone oil in vitreoretinal surgeries

Abri, Mohammed Al; Al-Hinai, Ahmed; Al-Musalami, Adil; Al-Ghaithi, Huda

doi:10.4103/ojo.ojo_158_21

Cited by 4 publications

(2 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The effect of age, gender, and axial length on the emulsification rate was also evaluated in the study. The outcomes revealed that age and axial length were significantly associated with a higher emulsification rate, while gender did not have a significant effect [ 11 ].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

The Emulsification of Silicone Oil 5000 cs in Patients With Retinal Detachment

Tayyab,

Iqbal,

Rahman

et al. 2023

Cureus

View full text Add to dashboard Cite

Background The emulsification of silicone oil is a significant concern for those with rhegmatogenous retinal detachment (RRD) following surgery. The aim of the study was to assess the frequency of emulsification in the patients who underwent primary vitrectomy and were administered 5000 cs silicone oil. Methodology The Layton Rahmatullah Benevolent Trust in Lahore conducted an ophthalmology study from January 2022 to March 2023. The patients who had primary vitrectomy for RRD with silicone oil tamponade were included regardless of age or gender. Those on anti-inflammatory or steroid medications prior to surgery were excluded. Retinal attachment was examined 8-12 weeks post operation to assess silicone oil removal eligibility. Emulsification occurrence was reported. Data on emulsification time, visual acuity (pre- and post-removal), mean intraocular pressure (IOP), and clinical outcomes were collected and analyzed using the Statistical Package for Social Sciences (SPSS) software (IBM SPSS Statistics, Armonk, NY). The results were graphically presented with mean, standard deviations, frequencies, and proportions. Results A total of 158 patients underwent silicone oil removal after undergoing primary vitrectomy for RRD with silicone oil. The mean age of the patients was 45.90 ± 17.8 years. The mean preoperative intraocular pressure (IOP) among the patients was 16.28 ± 2.97 mmHg. Post removal of silicone oil, the IOP was reduced to 12.66 ± 3.02 mmHg. In 11 out of 158 cases (6.9%) of RRD, emulsification had occurred with silicone oil 5000 cs. We found that out of 11 cases of emulsification, eight (72.73%) were 40 years or older in age. Seven (63.64%) patients had tamponade duration of 10 weeks or longer. However, the difference was not statistically significant. Conclusion In conclusion, our study found that the incidence of emulsification of 5000 cs silicone oil in the patients who underwent primary vitrectomy for the treatment of RRD was 6.9%. We observed that emulsification was more frequent in patients aged 40 years or older and those with a tamponade duration of 10 weeks or longer, although the difference was not statistically significant. Further investigation with bigger sample sizes and extended follow-up periods is required to verify our findings and explore potential factors that could lead to emulsification in this group of patients.

show abstract

Section: Discussionmentioning

confidence: 99%

“…The extensive utilization of silicone oil in surgeries involving the retina and vitreous humor has generated significant apprehension regarding the potential risks and adverse effects linked to the temporary usage of silicone oil as a tamponade during postoperative care [9][10][11][12][13].…”

Section: Discussionmentioning

confidence: 99%

The Emulsification of Silicone Oil 5000 cs in Patients With Retinal Detachment

Tayyab,

Iqbal,

Rahman

et al. 2023

Cureus

View full text Add to dashboard Cite

show abstract

Sociodemographic Factors and Comorbidities Including Hyperparathyroidism Are Associated With an Increased Risk of Band Keratopathy: A Population-Based Study in Taiwan

et al. 2022

View full text Add to dashboard Cite

PurposeTo investigate the association of comorbidities including hyperparathyroidism and sociodemographic factors with band keratopathy.MethodsThis retrospective, population-based, matched case-control study recruited 2,545 patients suffering from band keratopathy. They were selected from the Taiwan National Health Insurance Research Database, based on the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) code 371.43. The control group included 15,270 sex-, age-, and index date-matched non-band keratopathy patients collected from the Taiwan Longitudinal Health Insurance Database 2000. To compare band keratopathy patients with controls, McNemar’s test was used for nominal data and paired t- tests were used for continuous variables. Univariate conditional logistic regression analysis and multivariable conditional logistic regression were used to obtain the odds ratio (OR) and adjusted OR of developing band keratopathy.ResultsPatients with hyperparathyroidism were more likely to develop band keratopathy than controls (OR, 43.5; 95% confidence interval [CI], 23.789–79.544; P < 0.001) even after conditional logistic regression (adjusted OR, 11.28; 95% CI, 5.461–23.33; P < 0.001). Other conditions that increased the odds of scleritis development included systemic diseases such as chronic kidney disease (CKD) and diabetes mellitus (DM) and ocular conditions such as iridocyclitis, phthisis bulbi, and ever silicone oil retention. Regarding sociodemographic factors, >40% of patients with band keratopathy were aged ≥65 years old. Moreover, patients living in Eastern Taiwan and fishermen had higher odds of developing band keratopathy.ConclusionsBand keratopathy is significantly associated with hyperparathyroidism, CKD, DM, iridocyclitis, phthisis bulbi, and ever silicone oil retention.

show abstract

Surgical Treatment in Silicone Oil-Associated Glaucoma

Cornacel

Dumitrescu²,

Zaharia³

et al. 2022

Diagnostics

View full text Add to dashboard Cite

Glaucoma is a vision threatening, not uncommon complication of eyes that have undergone pars plana vitrectomy with silicone oil endotamponade. Although most patients respond well to medical antiglaucoma therapy, there are refractory cases where surgery is required to control the intraocular pressure. This review, following a comprehensive literature search in the Medline database, aims to present the most important surgical techniques currently in use for glaucoma associated with silicone oil endotamponade and their indication depending on the mechanism of glaucoma. In cases of pupillary block, the presence of a patent iridotomy or iridectomy must be ensured, either by laser or surgically. When silicone oil is in excess and whenever the retinal status permits it, partial or complete removal of the silicone oil should be performed. Trabeculectomy has shown higher failure rates and more complications in these cases compared to other indications, so alternate methods are warranted. For very high intraocular pressures, glaucoma drainage devices and transscleral cyclophotocoagulation are the most used options, with good efficacy and safety profiles, although rarely they may have serious complications. The Ex-PRESS mini shunt has shown excellent results and lower rates of complications. For less important IOP elevations, minimally invasive glaucoma surgery and selective laser trabeculoplasty may be used, either alone or in conjunction with other methods.

show abstract

Complications associated with the use of two types of silicone oil in vitreoretinal surgeries

Cited by 4 publications

References 11 publications

The Emulsification of Silicone Oil 5000 cs in Patients With Retinal Detachment

The Emulsification of Silicone Oil 5000 cs in Patients With Retinal Detachment

Sociodemographic Factors and Comorbidities Including Hyperparathyroidism Are Associated With an Increased Risk of Band Keratopathy: A Population-Based Study in Taiwan

Surgical Treatment in Silicone Oil-Associated Glaucoma

Contact Info

Product

Resources

About