Silicone Oil Reinjection without Macular Buckling for Treatment of Recurrent Myopic Macular Hole Retinal Detachment after Silicone Oil Removal

Abstract

Purpose. To evaluate the efficacy of silicone oil (S.O) reinjection without macular buckling for treatment of recurrent myopic macular hole retinal detachment (MHRD) after silicone oil removal. Methods. A retrospective consecutive interventional study from medical reports on cases of myopic MHRD. Fifty-three eyes of 51 patients underwent silicone oil removal after successful repair of MHRD were reviewed. The main outcomes were the retinal status after silicone oil removal and management of recurrent cases. Results. The rate of recurrent RD (Re RD) after silicone oil removal was 11.3% (6 out of 53 eyes). One case refused any other interference. In the remaining 5 eyes, 4 eyes (80%) could be reattached by S.O re-injection and one eye (20%) developed Re RD after S.O re-injection. Range of followup after management of recurrence was 5–53 months (mean 18.7 months). Conclusions. This case series concluded that the risk factors for recurrent RD after silicone oil removal from cases of myopic MHRD were high myopia, open flat MH, and large posterior staphyloma. Revision of vitrectomy and S.O re-injection can reattach most of recurrent cases.

Long-Term Outcome After Silicone Oil Removal in Eyes with Myopic Retinal Detachment Associated with Macular Hole

“…The authors did not comment on the type of macular hole closure. Ghoraba et al 20 reported retinal re-attachment and macular hole closure in 88.7% of eyes. They had 23 months mean follow-up period after silicone oil removal.…”

“…The authors did not comment on the type of macular hole closure. Ghoraba et al 20 reported retinal re- For personal use only. primary retinal re-attachment and to maintain long-term success after silicone oil removal.…”

“…To date, the timing of silicone oil removal is still debated. [18][19][20] In the present study we used PPV and silicone oil tamponade for management of MRDMH and focused on exploring the anatomical and functional outcomes of this technique and its long-term validity after silicone oil removal.…”

Preactivated silicone oil as potential long-term vitreous replacement with nonemulsifying properties

“…As far as ophthalmology is concerned, silicone oil tamponades have already been evaluated as beneficial treatment modality for endophthalmitis 4 and retinal detachment. [5][6][7] In this context, no toxic effect to retinal cells has been detected for low-and high-viscosity silicone oils. 8 The first silicone oil vitrectomy took place over 50 years ago and ever since this material has been retained as suitable vitreous substitute due to its optical transparency and chemical inertness (for review, see Refs [9 and 10]).…”

“…Even an antiviral and antimicrobial effect has been unraveled. As far as ophthalmology is concerned, silicone oil tamponades have already been evaluated as beneficial treatment modality for endophthalmitis and retinal detachment . In this context, no toxic effect to retinal cells has been detected for low‐ and high‐viscosity silicone oils .…”