The Effects of Silicone Oil Removal

Hutton, William L.; Azen, Stanley P.; Blumenkranz, Mark S.; Lai, Michelle; McCuen, Brooks W.; Han, Dennis P.; Flynn, Harry W.; Ramsay, Robert C.; Ryan, Stephen J.

doi:10.1001/archopht.1994.01090180076038

Cited by 175 publications

(141 citation statements)

References 13 publications

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“…[1][2][3][4][5][6][7][8][9][10][11] In this current series, we report an incidence of recurrent retinal detachment of 34% but we also note that of the 21 retinae that redetached, 18 (86%) were re-attached with only one additional procedure and only 6 of these cases required re-infusion of silicone oil. This gives an overall success rate of 92%, excluding the patient who refused further surgery and the 5 patients with oil in situ.…”

Section: Methodsmentioning

confidence: 74%

Visual outcome after silicone oil removal and recurrent retinal detachment repair

Flaxel

Mitchell

Aylward

2000

Eye

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Section: Methodsmentioning

confidence: 74%

Visual outcome after silicone oil removal and recurrent retinal detachment repair

Flaxel

Mitchell

Aylward

2000

Eye

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“…[3][4][5][6][7][8][9][10] Patient population varied among the different studies, some including tractional retinal detachments. These studies used either the two-port or the three-port technique, but no comparison of these techniques was attempted by any of these earlier studies.…”

Section: Discussionmentioning

confidence: 99%

Silicone oil removal after rhegmatogenous retinal detachment: comparing techniques

Tan

dell’Omo

Mura

2011

Eye

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Purpose To assess the outcome of silicone oil removal after rhegmatogenous retinal detachment (RRD) surgery, and to compare results of a two-port (infusion-extraction) versus a three-port (full vitrectomy) approach. Methods Primary outcome measure was the rate of redetachment. Secondary outcome measures were visual acuity, rate of intraoperative and postoperative epiretinal membrane removal and complications. Results We included 147 consecutive cases. There were 15 cases of giant retinal tear, 26 cases of RRD without proliferative vitreoretinopathy (PVR) and 106 cases of RRD with PVR. The overall redetachment rate after silicone oil removal was 17.7%. In the group treated with the two-port technique (n ¼ 95), the retina redetached in 16 cases (16.8%), and in the group treated with the three-port technique (n ¼ 52), redetachment occurred in 10 cases (19.2%). This difference was not statistically significant (P ¼ 0.717; v 2 -test). There was a significantly higher redetachment rate in cases with a short oil tamponade duration of o2 months. Conclusion We reconfirm a relatively high redetachment rate after silicone oil removal. The risk of redetachment is not lower with the threeport compared with the two-port approach.

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“…8,9 It was hypothesized that the adverse effects of silicone oil on corneas are possibly related to forward migration of silicone oil to the anterior chamber and corneal touch. 10,11 The silicone oil might act as a barrier separating human corneal endothelial cells (CEs) from the nutrition normally supplied by the aqueous humour. 12 Nevertheless, the possible direct cytotoxic effect of silicone oil on CEs has not been fully evaluated because silicone oil has been assumed inert in ocular tissues.…”

Section: Introductionmentioning

confidence: 99%