Tamponade in surgery for retinal detachment associated with proliferative vitreoretinopathy

Schwartz, Stephen G.; Flynn, Harry W.; Wang, Xue; Kuriyan, Ajay E.; Abariga, Samuel A; Lee, Wen-Hsiang

doi:10.1002/14651858.cd006126.pub4

Cited by 30 publications

(38 citation statements)

References 57 publications

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“…Silicone oil of 1000 cSt (sc) viscosity was found to be superior to sulfur hexafluoride in the treatment of complex retinal detachment [6]. In vitro retinal detachment models have shown that increasing silicone oil viscosity increases resistance to volume displacement, a mechanism through which oil tamponades the retina against the retinal pigment epithelium.…”

Section: Introductionmentioning

confidence: 99%

Characteristics, fates and complications of long-term silicone oil tamponade after pars plana vitrectomy

et al. 2020

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Background: Silicone oil tamponade has become a mainstay in treatment of advanced retinal detachment due to multiple etiologies. The aim of this study is to assess the characteristics, fates and complications of long-term silicone oil tamponade after par plana vitrectomy (PPV), and to compare the outcomes of different silicone oil viscosities used in a cohort of consecutive patients. Methods: This is a retrospective comparative case series of eyes undergoing vitrectomy with silicone oil tamponade for retinal detachment by a single surgeon using different oil viscosities that were followed for one year with the silicone oil in situ. Visual acuity (VA), intraocular pressure (IOP) and complications associated with the follow up period were analyzed and compared. Results: Eighty-five eyes of 85 patients were included in this study. Forty three patients had 1000 centistoke (cs) oil injected and 42 patients had 5000cs oil utilized. Demographic, cause of retinal detachment and preoperative ocular characteristics were similar in both groups. Long term complications in both groups included ocular hypertension (67.4% vs 66.7%), keratopathy due to silicone oil emulsification and migration to the anterior chamber (7.0% vs 11.9%), recurrent retinal detachment (4.7% vs 19%) and epiretinal membrane formation (7% vs 19%). In the 1000cs oil group, there was no significant difference between baseline IOP and any subsequent visit. There was a significant difference between baseline IOP and visits at day 1 (with IOP difference of 2.61 mmHg (±6.5)) (p = 0.028), 1 month (with IOP difference of 3.52 mmHg (±8.1)) (p = 0.026), 4 months (with IOP difference of 6.38 mmHg (±9.3)) (p = 0.005), and one year (with IOP difference of 4.24 mmHg (±11.1)) (p = 0.048), all higher in the post-operative period in the 5000cs oil group. Excluding the first post-operative day, no significant difference was found for VA between baseline visits and subsequent visits for either silicone oil groups.

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Section: Introductionmentioning

confidence: 99%

Characteristics, fates and complications of long-term silicone oil tamponade after pars plana vitrectomy

et al. 2020

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“…Gastamponaden dienen der temporären intravitrealen Tamponade [9,10,12,13]. Nachdem sich ein Gleichgewicht mit den Blutgasen eingestellt hat und eine Expansion der Gase im Auge stattgefunden hat (außer Luft), wird die Gastamponade mehr oder weniger schnell durch Abdiffusion geringer (▶ Abb.…”

Section: Apparative Voraussetzungenunclassified

Pars-plana-Vitrektomie

Bopp¹,

Kellner²

2019

Augenheilkunde up2date

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ZusammenfassungDie Pars-plana-Vitrektomie (PPV) ermöglicht die Therapie von zahlreichen Erkrankungen der Netzhaut und des Glaskörpers und wird bei der Diagnostik z. B. retinaler Tumoren eingesetzt. Verschiedene OP-Techniken sind möglich, abhängig von der Ausgangssituation und der Präferenz des Chirurgen. Die Erfolgsaussichten einer PPV sind im Wesentlichen abhängig von der Grunderkrankung, der Ausgangssituation und insbesondere der Veränderungen in der Makula.

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“…Results were comparable in long-term outlook to those in which SO was inserted. [ 66 67 ] The SO study concluded that SO was superior to sulfur hexafluoride and roughly equivalent to fluoropropane in cases with RD with severe PVR. [ 67 ]…”

Section: Management Of Recurrent Retinal Detachmentmentioning

confidence: 99%

Management of recurrent rhegmatogenous retinal detachment

Nagpal¹,

Chaudhary²,

Wachasundar³

et al. 2018

Indian J Ophthalmol

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Rhegmatogenous retinal detachment (RRD) repair is one of the most common vitreoretinal surgeries a surgeon performs. In an ideal scenario, RRD can be repaired with a single surgical intervention; however, despite excellent skill, flawless technique, and the introduction of high-end technology, up to 10% of cases require additional interventions to ultimately repair recurrent detachments. It is thus important to study the outcomes of multiple interventions to understand whether performing repeat vitrectomy on patients with a history of failed surgeries is worthwhile. Thus, recurrent retinal detachment (re-RD) remains a significant challenge for vitreoretinal surgeons as well as the patients considering the economic and the emotional burden of undergoing multiple interventions. The advent of microincision vitrectomy system, perfluorocarbon liquids, and effective intraocular tamponades has opened new doors for managing re-RDs. In this article, we have reviewed and summarized the various causes and approaches for management for optimal anatomical and functional outcomes.

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Tamponade in surgery for retinal detachment associated with proliferative vitreoretinopathy

Cited by 30 publications

References 57 publications

Characteristics, fates and complications of long-term silicone oil tamponade after pars plana vitrectomy

Characteristics, fates and complications of long-term silicone oil tamponade after pars plana vitrectomy

Pars-plana-Vitrektomie

Management of recurrent rhegmatogenous retinal detachment

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