Pars Plana Vitrectomy, Fluocinolone Acetonide Implantation, and Silicone Oil Infusion for the Treatment of Chronic, Refractory Uveitic Hypotony

Dayani, Pouya N.; Chow, Jessica; Stinnett, Sandra S.; Jaffe, Glenn J.

doi:10.1016/j.ajo.2011.04.035

Cited by 15 publications

(4 citation statements)

References 34 publications

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“…H ypotony is defined as an intraocular pressure (IOP) of less than 5 mm Hg [1][2] . Chronic hypotony is usually attributed to glaucoma surgery, retinal detachment (RD) or choroidal detachment, ocular trauma, proliferative vitreoretinopathy (PVR), or chronic uveitis [2][3] .…”

Section: Introductionmentioning

confidence: 99%

Chronic hypotony management using endoscopy-assisted vitrectomy after severe ocular trauma or vitrectomy

Zou

Chen

et al. 2023

Int J Ophthalmol

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AIM: To report outcomes of endoscopy-assisted vitrectomy (EAV) in patients with chronic hypotony following severe ocular trauma or vitrectomy. METHODS: This was a retrospective, noncomparative case series. Ciliary bodies were evaluated using ultrasound biomicroscopy pre-operatively and direct visualisation intraoperatively. All selected individuals (seven patients/seven eyes) underwent EAV. Removal of ciliary membrane and traction, gas/silicone oil tamponade (GT/SOT), and scleral buckling (SB) were performed in selected eyes. Outcome measurements mainly included intraocular pressure (IOP) and best-corrected visual acuity (BCVA). RESULTS: Seven eyes from 7 male aphakic patients with a mean age of 45 (range, 20-68)y were included in this study; the average follow-up time was 12 (9-15)mo. GT was performed in 2 eyes; membrane peeling (MP) and SOT in 2 eyes; and MP, SOT, and SB in 3 eyes. The mean pre- and post-operative IOP were 4.5 (range, 4.0±0.11 to 4.8±0.2) mm Hg and 9.9 (range, 5.6±0.17 to 12.1±0.2) mm Hg at 52wk (12mo), respectively. BCVA improved in six eyes; one eye still showed light perception, and no bulbi phthisis was observed. CONCLUSION: Endoscopy offers improved judgment and recognition and has an improved prognosis for chronic hypotony. Therefore, endoscopy can be an effective and promising operative technique for chronic traumatic hypotony management.

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Section: Introductionmentioning

confidence: 99%

Chronic hypotony management using endoscopy-assisted vitrectomy after severe ocular trauma or vitrectomy

Zou

Chen

et al. 2023

Int J Ophthalmol

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“…Silicone oil injections are effective against hypotony maculopathy, but the visual prognosis is limited. 6 , 7 Gas injection into the vitreous cavity to fill the vitreous space is also effective against hypotony after ocular surgery. 8 Silicone or gas injections could fill the vitreous cavity with oil or expansive gas.…”

Section: Introductionmentioning

confidence: 99%

Intra-vitreal gas injection and supine positioning for hypotony post-intrascleral intraocular lens fixation

Kumoi

Matsuda

Matsuoka

et al. 2022

American Journal of Ophthalmology Case Reports

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“…In this patient, recurrent MO was intractable to multiple subtenon TA injections and maximal systemic treatment. Vitrectomy with SO tamponade was performed to prevent chronic recurrent inflammation and subsequent hypotony (Dayani et al. 2011).…”

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confidence: 99%

“…The DEX Implant causes minimal volume expansion and no media opacity. While its ability to release therapeutic concentration of steroid inside the SO bubble has not been tested, a fluocinolone acetonide implant (Retisert ® ; Bausch & Lomb, USA) in the SO‐filled eye was recently shown to effectively treat refractory inflammation associated with uveitic hypotony (Dayani et al. 2011).…”

mentioning

confidence: 99%

Dexamethasone intravitreal implant in the silicone oil–filled eye for the treatment for recurrent macular oedema associated with ankylosing spondylitis: a case report

Kim

Yoon

Lee

et al. 2013

Acta Ophthalmologica

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Pars Plana Vitrectomy, Fluocinolone Acetonide Implantation, and Silicone Oil Infusion for the Treatment of Chronic, Refractory Uveitic Hypotony

Cited by 15 publications

References 34 publications

Chronic hypotony management using endoscopy-assisted vitrectomy after severe ocular trauma or vitrectomy

Chronic hypotony management using endoscopy-assisted vitrectomy after severe ocular trauma or vitrectomy

Intra-vitreal gas injection and supine positioning for hypotony post-intrascleral intraocular lens fixation

Dexamethasone intravitreal implant in the silicone oil–filled eye for the treatment for recurrent macular oedema associated with ankylosing spondylitis: a case report

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